| NPI | 1942775036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE COLEMAN Chief Executive Officer 678-834-6714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |