NPI | 1467721787 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM E BRUER Psychologist/Manager 404-735-8353 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003499) |
Enumeration Date | 2011-12-14 |
Last Update Date | 2011-12-14 |