| NPI | 1184079030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIBBY TANNENBAUM Clinical Psychologist 404-281-6477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA PSY2710) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |