| NPI | 1801211636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOK TODD President 678-858-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 5061) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |