NPI | 1730608522 |
---|---|
Entity Type | Organization |
Authorized Contact | MERCEDES MERRITT WILLIAMS CEO/Owner 678-310-9707 |
Organization Subpart ? | No |
Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: CA 40044) |
Additional Taxonomies | 405300000X Prevention Professional (Licence: IN 28315) |
Enumeration Date | 2017-09-13 |
Last Update Date | 2022-07-21 |