| NPI | 1861513673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MELTON Licensed Psychologist CEO 770-962-1944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 1641) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-08-22 |