| NPI | 1720250731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARVEY LOUIS GAYER Director 706-546-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: GA PSY002137) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |