| NPI | 1275807976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH D NEAL President 423-421-6028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003536) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2012-02-28 |