| NPI | 1962972851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KESI MILLER Clinical Psychologist 404-316-2593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |