| NPI | 1639416027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGLEA STEELE RICE Owner/Therapist 770-686-3601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA LPC004862) |
| Additional Taxonomies | 251S00000X (Licence: AL 2503) |
| Enumeration Date | 2013-01-06 |
| Last Update Date | 2013-02-03 |