| NPI | 1902672108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MORSE Speech Language Pathologist 706-309-4391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-11-29 |