| NPI | 1740517200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL MITCHUM ELAHEE Psychologist 678-720-1039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 2538) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |