NPI | 1457534513 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER J TILLITSKI Psychologist/President 478-476-0403 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: GA 001724) |
Enumeration Date | 2007-12-12 |
Last Update Date | 2007-12-12 |