| NPI | 1184210536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWASEYI OLOLADE AMOSU Owner 678-799-7576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2024-06-23 |