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Organization
CHILDREN'S 1ST REHABILITATION CENTER, INC
Active
Organization
CHILDREN'S 1ST REHABILITATION CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE HOLLOWAY DPT, PHD (PRESIDENT/CEO)
(404) 723-5583
Entity
Organization
Contact information
Practice address
239 VILLAGE CENTER PKWY STE 190, STOCKBRIDGE, GA 30281-9024
(404) 723-5583
Mailing address
445 YOUNG JAMES CIR, STOCKBRIDGE, GA 30281-1475
(404) 723-5583
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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