| NPI | 1851751580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN JOYCE CHILDS President 770-498-2865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY001808) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2016-02-23 |