| NPI | 1194597401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PERDUE Administrator 404-587-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-10-30 |