| NPI | 1629810486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH JAN HUTCHINS KHAN CEO/Provider 470-728-9352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2025-02-04 |