| NPI | 1487904454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN PATRICIA BARNES Manager/Licensed Clinical Psycholog 706-548-8697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003585) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |