Organization · Type 2 NPI
John W. Wilson, Psyd, LLC
Community/Behavioral Health Agency · Marietta, GA
Practice location
3115 Roswell Rd, Suite 201
Marietta, GA 30062-7605
Mailing address
1815 Annwicks Dr
Marietta, GA 30062-5407
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency Primary | 251S00000X | PSY003201 (GA) |
Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…
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About NPI 1508195504
John W. Wilson, Psyd, LLC's National Provider Identifier is 1508195504, issued on Dec 22, 2009. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Marietta, GA. The record was last updated on Dec 22, 2009.