| NPI | 1265534481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE NEAL CULP Chief Financial Officer 678-595-0062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 2384) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA 2391) |
| 103TC0700X Psychologist, Clinical (Licence: GA 2771) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-10-23 |