| NPI | 1851559793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN YASSEER Case Manager 770-416-9995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |