| NPI | 1457563637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILLIE C. ASTIN Owner 404-248-1023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA Psy 002201) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: GA Psy 002201) |
| 103TC0700X Psychologist, Clinical (Licence: GA Psy 002201) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |