| NPI | 1194991331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM L. BUCHANAN Owner Clinical Psychologist 678-624-0310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: GA PSY001251) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-09-17 |