NPI | 1174974620 |
---|---|
Doing Business As | THE CHILDRENS CLINIC |
Entity Type | Organization |
Authorized Contact | WARREN UMANSKY O Wner 706-736-8500 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
Enumeration Date | 2016-06-27 |
Last Update Date | 2016-06-27 |