| NPI | 1184753840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH BURNS President 770-765-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: GA PSY002186) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2021-09-16 |