| NPI | 1356692800 |
|---|---|
| Doing Business As | RIDGEWOOD CLA |
| Entity Type | Organization |
| Authorized Contact | KINGSLEY OGBUAGU Owner 678-471-4065 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |