| NPI | 1689006835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MICHAEL BALL Executive Director 678-377-9634 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |