| NPI | 1669154910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERCY JENKINS Chief Executive Officer 404-807-4697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |