| NPI | 1346387248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES H MELVILLE Assistant 404-266-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY000318) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |