| NPI | 1730590720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY MCCLENDON Owner 404-749-0460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP1600X Counselor, Pastoral | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |