| NPI | 1922486018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY SEGUIN Licensed Psychologist 404-293-8230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO Psy 0003966) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2017-01-30 |