| NPI | 1205188554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA BARNES Clinical Psychologist 678-775-8399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 3587) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |