| NPI | 1003785049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANISE SHOWELL Speech Language Pathologist 404-671-7463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2025-10-29 |
| Last Update Date | 2025-10-29 |