| NPI | 1962750869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARA A DELANCY Psychologist 706-210-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA PSY003096) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-11-07 |