NPI | 1306993795 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN COLLINS MCCORMACK President 706-733-7029 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY000601) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2007-12-18 |