| NPI | 1740919711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMYRA EDWARDS Owner/Clinical Director 404-436-2368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2022-06-09 |