| NPI | 1225248362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL W. SCHENK President 770-939-4473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 663) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: GA 663) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA 663) | |
| 103TF0000X Psychologist, Family (Licence: GA 663) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2011-11-16 |