| NPI | 1891979803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMOS ZEICHNER Clinical Director 706-542-1173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 001667) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2022-08-11 |