| NPI | 1356760318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANIKA MCCLAIN QUEEMAN Occupational Therapist 404-502-7997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: GA OT004369) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2015-04-01 |