| NPI | 1740941442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARENA CAMPBELL Speech Language Pathologist 678-390-5154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-01-21 |