| NPI | 1396965109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY BAILEY Chief Psychologist 770-843-9026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY002609) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |