| NPI | 1780896555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBIE HIGHTOWER Contact Person 478-405-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 650) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2011-03-23 |