| NPI | 1851530554 |
|---|---|
| Doing Business As | SOUTHERN CRESCENT TBI CENTER |
| Entity Type | Organization |
| Authorized Contact | OMAR EL SAWI CEO 770-378-9774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282E00000X (Licence: GA 075-004) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2010-10-14 |