| NPI | 1700045937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN N. EMERSON Owner 912-764-3595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY002041) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |