Organization
LET'S RETREAT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORI M NUZUM OTR/L (OCCUPATIONAL THERAPIST)
(404) 277-1474
Entity
Organization
Contact information
Practice address
2048 SANDERLINGS DR NW, KENNESAW, GA 30152-5816
(404) 277-1474
Mailing address
2048 SANDERLINGS DR NW, KENNESAW, GA 30152-5816
(404) 277-1474
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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