NPI | 1609204999 |
---|---|
Doing Business As | CHARM CITY THERAPY |
Entity Type | Organization |
Authorized Contact | ELANA WISE Occupation Therapist 404-502-6942 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD 05807) |
Enumeration Date | 2013-10-23 |
Last Update Date | 2024-08-09 |