| NPI | 1679624183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA KIM ROBERTS Co Owner 404-846-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 002616) |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2020-08-22 |