| NPI | 1932430196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CARMEN SANTANA Psychologist 770-925-7898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA psy003121) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |