| NPI | 1740703859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESIE RHEA HANAGAN Speech Language Pathologist 770-548-2861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2017-07-20 |