| NPI | 1205017043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARCELLA JEAN TRIMBLE Psychologist 404-992-5125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA PSY003083) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2011-10-08 |