| NPI | 1215649967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYNITA HUDGINS Owner/CEO 470-407-3127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103TP2701X Psychologist Group Psychotherapy |
| 103TF0200X Psychologist Forensic | |
| 103TH0004X Psychologist Health | |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2022-12-14 |