| NPI | 1972711091 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | NICKOLE MICHELLE SALADIN President 678-277-9915  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: GA slp005649)  | 
| Enumeration Date | 2007-05-21 | 
| Last Update Date | 2020-08-22 |