| NPI | 1164782074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLEEN S. JOHNSON Owner/Lead Therapist 678-305-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005769) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |