| NPI | 1295920171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY BAILEY Clinical Psychologist/Director 770-843-9026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: GA PSY002609) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |