| NPI | 1023514197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE PHILPOT-SLOCUM Owner 678-948-6632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 103K00000X Behavior Analyst | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2026-06-17 |