| NPI | 1528460870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN EDWARDS Co Owner 404-550-5879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003475) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |