| NPI | 1528587367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCEDES MERRITT WILLIAMS CEO/Owner 678-310-9707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 40044) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: IN 28315) |
| 103TF0200X Psychologist, Forensic (Licence: IN 28315) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: IN 28315) | |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2022-07-21 |