NPI | 1780088195 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY MICHELLE LEWIS President/Licensed Psychologist 404-641-7705 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA PSY003785) |
Enumeration Date | 2014-10-14 |
Last Update Date | 2025-01-06 |