| NPI | 1275795155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRIN SAMUEL BRONFMAN Psychotherapist 770-417-2721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW003592) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-01 |