| NPI | 1952333122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW BUCKHALTER CFO 470-464-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center Medically Fragile Infants and Children Day Care (Licence: FL PPC6007096) |
| Additional Taxonomies | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2025-01-27 |