| NPI | 1235123910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE F WEILENMAN Owner 912-667-7716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY002596) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2008-06-18 |