| NPI | 1265213359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASIAH WILBORN Owner/Speech Language Pathologist 678-349-6151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-12-21 |