| NPI | 1386801454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLTON L. QUARELLS CEO 770-403-3124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA Psy002525) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2022-07-21 |