| NPI | 1689198194 |
|---|---|
| Doing Business As | P.A.C.E.S., LLC |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANNE NORTHINGTON Psychologist/Partner 706-842-3272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2021-07-08 |