| NPI | 1598201154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER TERRY Sole Member 404-387-3380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: TN SP0000005184) |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: TN SP0000005184) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |