| NPI | 1639422603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCINDA TAYLOR GRAPENTHIN Owner 404-433-7363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 2289) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |