Organization
HAVEN HILLS THERAPEUTIC RIDING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEILI S RANDALL CRC (CERTIFIED REHABILITATION COUNSELOR)
(770) 371-7531
Entity
Organization
Contact information
Practice address
7580 RIVERTOWN RD, FAIRBURN, GA 30213-2403
(678) 296-9693
Mailing address
7580 RIVERTOWN RD, FAIRBURN, GA 30213-2403
(678) 296-9693
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
00116431
GA
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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