| NPI | 1679692180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA FARLEY Psychologist/Owner 770-298-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 2417) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2017-11-30 |