| NPI | 1760020572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET Y GRINSTEAD Owner 404-956-7529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |