| NPI | 1821429721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE LEAVITT Licensed Psychologist 770-592-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA PSY003317) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: GA PSY003317) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |