| NPI | 1881371326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA JENKINS Clinical Psychologist 706-399-5036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2023-06-28 |