| NPI | 1568678373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE MAX President 770-933-4130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |