| NPI | 1881125557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L POWELL Licensed Psychologist 404-403-6177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: GA PSY000981) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |