| NPI | 1447858758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HOWELL VP Of Operations 770-923-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing |
| 251S00000X Community/Behavioral Health | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |