| NPI | 1316356066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ZAJAC-COX Resident Director 404-712-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: GA PT011587) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |