NPI | 1629326178 |
---|---|
Entity Type | Organization |
Authorized Contact | MARC C STEWART Owner 770-622-5440 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: GA 006322) |
Enumeration Date | 2012-08-15 |
Last Update Date | 2012-08-15 |