| NPI | 1861106163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENAI LOVE Speech Language Pathologist 678-472-5830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-01-11 |