| NPI | 1639437726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIGGOLETTE ANDONTE LEEPER Owner 404-939-7440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: GA 8642) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |