| NPI | 1629434758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN CASEY CROOK Psychotherapist 404-500-6102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: GA LPC008576) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |