| NPI | 1275044802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATIMA WASIM Counseling Psychologist 678-313-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA PSY004097) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2019-08-14 |