| NPI | 1093467466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIANA DESIREE HINES Speech Language Pathologist 404-482-2947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2022-01-26 |