| NPI | 1730619263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL A MCRAE Speech Language Pathologist/CEO 678-421-4351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006498) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-08-13 |