| NPI | 1588019640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN L CAMPBELL Licensed Psychologist 706-714-2384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: GA PSY002630) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |