| NPI | 1588925796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUSHANNAH JOHNSON-VERWAYNE Owner/Licensed Psychologist 678-973-2491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY003324) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-06-04 |