| NPI | 1376878082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN J GENEVA Preisdent/ Psychologist 706-322-0265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY002694) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2009-10-14 |