| NPI | 1326317488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL WACHTEL Clinical Psychologist 404-723-5633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003012) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2016-04-05 |