| NPI | 1669664983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY LEWIS President 678-360-4819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY002890) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |