| NPI | 1841732633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY BORAK CEO 404-932-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA 1-16-21587) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2020-10-29 |