| NPI | 1184370041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEKA BLANETTE BACON Speech Language Pathologist 404-808-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-03-01 |