| NPI | 1326796962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTEFANIA LOPEZ SANTANA Speech Language Pathologist 678-266-8793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-12-15 |