| NPI | 1891867313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALDUAN RABZE TARTT Owner Psychologist 404-377-4757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA 002535) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: GA 002535) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |