| NPI | 1215909163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS L. GLOVER Managing Director 770-889-8852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP000487) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-08-22 |