| NPI | 1790482859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER CYGAN Owner 770-758-7703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC0700X Psychologist, Clinical | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2023-02-09 |