| NPI | 1790027399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELINE ALTABE Owner/Licensed Psychologist 404-941-6402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY4848) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2019-12-17 |