| NPI | 1275299190 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ALICIA JONEKA EARL Speech Language Pathologist 404-445-8872 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, | 
| Enumeration Date | 2021-11-15 | 
| Last Update Date | 2021-11-15 |