| NPI | 1083262836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS MITCHELL Owner 404-483-9695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |