| NPI | 1700980224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ANTHONY KING President 770-933-4130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY002888) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2026-05-29 |