| NPI | 1124707831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENA HARLEY Owner 404-512-5231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-12 |