NPI | 1609385673 |
---|---|
Doing Business As | THE PARENT CHILD PRACTICE |
Entity Type | Organization |
Authorized Contact | DECIA N DIXON Owner 678-649-1940 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003490) |
Enumeration Date | 2017-09-21 |
Last Update Date | 2022-07-21 |