| NPI | 1750632279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENTINA BENJAMIN Office Manager 229-219-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY001796) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |