| NPI | 1902288541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORIE TRAVOY JENKINS CEO 404-229-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2021-04-21 |