| NPI | 1194169037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEILI S RANDALL Certified Rehabilitation Counselor 770-371-7531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: GA 00116431) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |