| NPI | 1538113642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KIP MATTHEWS Vice President / Psychologist 706-613-5290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2008-05-06 |