| 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 |