NPI | 1144519778 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN RUSSEL HELTON President 678-316-4338 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP000669) |
Enumeration Date | 2011-04-05 |
Last Update Date | 2011-04-05 |