| 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 |