| NPI | 1700983772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRLAINE DARIUS Admin Director 770-888-5221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT008827) |
| 225X00000X Occupational Therapist (Licence: GA OT003747) | |
| 225X00000X Occupational Therapist (Licence: GA OT001067) | |
| 225X00000X Occupational Therapist (Licence: GA OT003625) | |
| 225X00000X Occupational Therapist (Licence: GA OT001466) | |
| 103K00000X Behavior Analyst | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 225100000X Physical Therapist (Licence: GA PT008420) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004267) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005105) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005895) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006187) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004972) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-10-02 |