| NPI | 1326363441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KATRIN Psychologist 678-637-7535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: GA 1058) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2010-03-31 |