| NPI | 1679747554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL I. BERGER Psychologist 770-417-2717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA PSY000461) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |