| NPI | 1912799685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEDRIC CEBON CLARK Manager 404-573-9344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XR0403X Occupational Therapist, Driving and Community Mobility |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-06-30 |