| NPI | 1770218638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN B TRAYLOR-ADOLPH Licensed Psychologist 678-837-6529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 103TF0000X Psychologist, Family | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2022-07-23 |