| NPI | 1396580163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY DECRUISE-OATES Clinical Psychologist / Owner 478-284-3985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-06-25 |