| NPI | 1710937099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA ANDERSON CEO 770-978-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 040961) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 045522) |
| 106H00000X Marriage & Family Therapist (Licence: GA 000290) | |
| 106H00000X Marriage & Family Therapist (Licence: GA MFT000665) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA 001166) | |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW03196) | |
| 363A00000X Physician Assistant (Licence: GA 7799) | |
| 363A00000X Physician Assistant (Licence: GA 7551) | |
| 363A00000X Physician Assistant (Licence: GA 7753) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2016-03-23 |