| NPI | 1780716258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES A. JENKINS President 770-956-9213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 3552) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA 1582) |
| 106H00000X Marriage & Family Therapist (Licence: GA 818) | |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2012-05-14 |