| NPI | 1730522038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN GARY BERGER CEO 770-971-3303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY002956) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2013-04-17 |