| NPI | 1013088715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE BROWER Exec. Director 770-534-5141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP000303) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |