| NPI | 1225221492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BORN Licensed Psychologist 706-543-7605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY001283) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-11-16 |