| NPI | 1467508630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE GREEN Principal 404-909-9455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA PSY001316) |
| Enumeration Date | 2007-01-28 |
| Last Update Date | 2020-08-22 |