| NPI | 1205693140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR URIBE Chief Operating Officer 678-508-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 225XN1300X Occupational Therapist Neurorehabilitation |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |