| NPI | 1841379740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALIKA S BHARGAVE Office Manager 770-486-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC003153) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC003177) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: GA PSY002096) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2012-03-30 |