| NPI | 1639286198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONI E PRINCE Clinical Psychologist 404-461-9067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 1723) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2021-03-31 |