| NPI | 1487617197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN THOMAS JOHNSON CEO 678-984-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA 049301) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2020-08-22 |