| NPI | 1316385446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA L. JENKINS Owner/Doctor 404-590-8156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY 003657) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: GA PSY 003657) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: GA PSY 003657) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: GA PSY 003657) | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2021-02-24 |