NPI | 1508399759 |
---|---|
Entity Type | Organization |
Authorized Contact | ALYZA BERMAN MILRAD CEO/Clinical Director 404-694-0204 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 014956) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 7995) |
1041C0700X Social Worker, Clinical (Licence: GA 3842) | |
1041C0700X Social Worker, Clinical (Licence: GA 5560) | |
225700000X Massage Therapist | |
Enumeration Date | 2017-04-05 |
Last Update Date | 2023-08-30 |