| NPI | 1366612491 |
|---|---|
| Doing Business As | THERAPEUTIC EDGE |
| Entity Type | Organization |
| Authorized Contact | SANDI JACQUELYN STEPHENS President 404-964-1072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: GA 004092) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |