| NPI | 1780782128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNETT HOWE GORDON Clinical Psychologist 706-235-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 003017) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-01-18 |