| NPI | 1629649116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE GORDON Speech Language Pathologist 404-721-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2021-07-06 |