| NPI | 1770678344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA MARIE DAVINO President 404-668-9893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 2650) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2017-01-15 |