| NPI | 1861998585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVITAL K COHEN Licensed Psychologist 404-796-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: GA 3672) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-02 |