| NPI | 1801022413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CLARK CEO/President/Owner 404-276-3037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY002509) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2018-02-26 |