| NPI | 1851795660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA A. ROBERTS Director/Ddp 678-763-6722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251J00000X Nursing Care | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-25 |