| Georgia Rehabilitation Outreach | |
|
1777 Washington Road East Point GA 30344 | |
| (404) 892-0998 | |
| (404) 872-0095 |
| Full Name | Georgia Rehabilitation Outreach |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1777 Washington Road, East Point, Georgia |
| Authorized Official Name and Position | Brenda Bell (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4048920998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Rehabilitation Outreach 1777 Washington Road East Point GA 30344 Ph: (404) 892-0998 | Georgia Rehabilitation Outreach 1777 Washington Road East Point GA 30344 Ph: (404) 892-0998 |
| NPI Number | 1699868117 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 10/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699868117 | NPI | - | NPPES |
| 00914394A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1041C0700X (Georgia) | Primary |
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