| NPI | 1346923943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK GUINN Director 770-337-9973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-08-09 |