| NPI | 1063388049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL ALVARADO Speech Language Pathologist 678-476-5371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-10-15 |