| NPI | 1932394855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARNETTE BENDER GRALL Owner 404-518-1018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY002875) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |