| NPI | 1376752105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY JONES Clinical Psychologist 404-633-3305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 051739777) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |