| NPI | 1750770970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA MARIA ALLEN President 229-415-3301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA Slp008702) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |