| NPI | 1447579925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA N JEFFERSON Licensed Psychologist 678-741-5310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA PSY003323) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2010-05-24 |