| NPI | 1740675743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CAST Owner 404-790-0528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: GA SLP005412) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2022-05-24 |