| NPI | 1528371663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONDRE CLEMONS Speech Pathologist 334-322-5793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: GA SLP006951) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-19 |