Organization
GEORGIA REHABILITATION OUTREACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA BELL (CHIEF OPERATING OFFICER)
(404) 892-0998
Entity
Organization
Contact information
Practice address
1777 WASHINGTON ROAD, EAST POINT, GA 30344
(404) 892-0998
(404) 872-0095
Mailing address
1777 WASHINGTON ROAD, EAST POINT, GA 30344
(404) 892-0998
(404) 872-0095
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1041C0700X
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00914394A
—
GA
Enumeration date
10/02/2006
Last updated
10/11/2011
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