| NPI | 1871628271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORNA L. BENBENISTY Licensed Psychologist 678-935-9567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA 0001483) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2010-01-11 |