| NPI | 1366729519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA C SMITH President 770-592-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: GA 1754) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-11-15 |