| NPI | 1336326289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC WELLS EATON President 912-283-6629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY000673) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |