| NPI | 1902872310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVONYA CLEMONS Speech Language Pathologist 770-981-4927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283X00000X Rehabilitation Hospital |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2020-08-22 |