| NPI | 1972710762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN L. FLEET President 770-953-4744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: GA 001154) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |