| NPI | 1407003536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY VAN OVERBEKE BROOKS Owner/Psychologist 770-293-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA PSY003048) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2020-01-29 |