| NPI | 1871818641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY O'DELL Founder/Director 770-998-1017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004163) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: GA PT002001) |
| 101YM0800X Counselor, Mental Health (Licence: GA MSW006914) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: GA 1059) | |
| 103TS0200X Psychologist, School (Licence: GA 09634048) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: GA PT010499) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT005584) | |
| 1041C0700X Social Worker, Clinical (Licence: GA MSW006790) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007882) | |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2015-11-23 |