| NPI | 1053542092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WRIGHT Clinic Director/Billing Manager 770-995-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2019-04-25 |