| NPI | 1275292302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSE MOORE Owner 404-993-6981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2021-12-16 |