| NPI | 1790186716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LAWRENCE TURCO Owner 706-457-7673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY002346) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |