| NPI | 1760999767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALESYA KOREY Clinical Psychologist 404-862-8106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY3835) |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |