| NPI | 1518991611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW WAYNE WHITEST President 404-691-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-08-13 |