| NPI | 1366626970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER W. BUDDINGTON President 770-493-9177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY001926) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW003357) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |