| NPI | 1679157804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA ALTHEA HENRY Speech Language Pathologist 404-510-9605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2021-06-23 |