| NPI | 1760717680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANTOINETTE CROWE Clinical Psychologist/Owner 770-387-9845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 002699) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2009-10-09 |