| NPI | 1700291671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DISHNER Occupational Therapist 770-354-0883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |