NPI | 1831413426 |
---|---|
Other Name | PSYCHOLOGICAL CENTER FOR GROWTH AND DEVELOPMENT |
Entity Type | Organization |
Authorized Contact | JOSEPH M GARMON Owner 229-226-0741 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY002910) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW002353) |
Enumeration Date | 2010-03-25 |
Last Update Date | 2010-11-04 |