| NPI | 1144769902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY EVANS President/Owner 404-493-2961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 005335) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |