| NPI | 1700980224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON KING Managing Member 770-933-4130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA PSY002888) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |