| NPI | 1790654366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ECCLESIA SAVAGE Director/Psychologist 470-300-2064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-03 |