Organization
SOLID FOUNDATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEMETRES THOMAS (OWNER)
(404) 457-2245
Entity
Organization
Contact information
Practice address
613 STREAM CT, FAIRBURN, GA 30213-5820
(404) 457-2245
Mailing address
1040 GENNY LN, RIVERDALE, GA 30296-2710
(404) 457-2245
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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