| NPI | 1124342019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVONYA DONELL CLEMONS Speech Language Pathologist 678-608-9601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech |
| Enumeration Date | 2010-03-21 |
| Last Update Date | 2010-03-21 |