| NPI | 1619674124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI HURD President 678-967-1924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225100000X Physical Therapist | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2026-03-26 |