| NPI | 1720660152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANNA ABRAM Chief Administrative Officer 678-205-7313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2023-12-07 |