| NPI | 1366168114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA D DAWKINS Executive Director 470-851-5347 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2022-10-13 |