| NPI | 1568859890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA LUKKONEN SULLIVAN President 678-825-6411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: GA SLP007119) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |