| NPI | 1144608316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CREWS Program Analyst 404-321-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: GA MSW005664) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |