| NPI | 1285175745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOELLE SANTORELLI Psychologist 404-919-9231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003479) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |