| NPI | 1790959641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ONA GRAHAM Owner/President 706-317-2163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: GA PSY001682) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |