| NPI | 1730637059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANYON YVONNE SCRUGGS Owner/Director 678-570-8129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-16 |