| NPI | 1215169883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS EMBRY COLLINS Psychologist 770-446-5642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: GA PSY 0892) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2009-08-17 |