| NPI | 1750088860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLER NICHOLE TURNQUIST Owner 706-676-2159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2023-02-14 |