| NPI | 1487172300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL MARTIN Clinical Psychologist 404-410-2448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY004040) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2022-07-21 |