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 |