| NPI | 1770791162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE S ROZANTINE CEO 912-352-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY002023) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |