| NPI | 1881991404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAIWANA HAWKINS Director Of Billing 404-671-9213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: GA PSY003437) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-02-16 |