| NPI | 1750576781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RETHA MAE CARLTON President/Therapist 770-682-6225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: GA OT 0003690) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: GA ot0003690) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2009-01-30 |