| NPI | 1689067563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGDA GAD Billing Manager 404-300-9321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NJ 41ys00599300) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |