| NPI | 1477081487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY DALENE Clinical Director 404-808-5427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008991) |
| Enumeration Date | 2017-06-03 |
| Last Update Date | 2018-01-25 |