| NPI | 1578860854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA J. KLAITZ Medical Psychologist 404-257-0964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: GA PSY000767) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-02-22 |