| NPI | 1750339537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE JACKSON President 404-641-9019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP 004817) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-08-22 |