| NPI | 1871649384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE K LANGFORD Managing Member 770-401-6031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004773) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |