| NPI | 1659692002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA PHILLIPS-BINDER Chief Management Officer 770-778-7275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-09-23 |