| NPI | 1548651748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRETTA KALETO CEO 770-719-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005911) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |