| NPI | 1407683295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADRAT NUHU Psychologist 678-558-9428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-09-17 |