| NPI | 1770798324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELI MATTHEW SOLOMON Psychologist 706-546-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: GA PSY002814) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |