| NPI | 1508223801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE LAMAR FERNANDEZ Workplace Wellness 678-876-6413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: GA 15104206) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |