| NPI | 1386059251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY B HERTZA Exec Clinical Director 706-823-5266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health (Licence: GA APC004405) | |
| 103T00000X Psychologist | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2025-10-13 |