| NPI | 1689813412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL COX PURSLEY CEO 770-752-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: GA PSY001879) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA PSY001879) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |