NPI | 1821317173 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHARI DOZIER Founder/CEO 678-558-2684 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
106H00000X Marriage & Family Therapist | |
347C00000X Private Vehicle | |
Enumeration Date | 2010-05-26 |
Last Update Date | 2010-05-26 |