| NPI | 1366767022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA CLAUDETTE MOORE Exec. Director 478-714-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004692) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2010-04-06 |