| NPI | 1891987590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEISA ANN BAILEY President/Clinical Psychologist 770-428-6698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 999) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2008-04-20 |