| NPI | 1760621098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MERLE REASONER Psychologist 770-271-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA 1438) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2009-02-10 |