NPI:
1760714299
Provider Name:
SPECTRUM HABILITATION SERVICE INC.
Doing Business As: SPECTRUM HABILITATION SERVICES #A, #B, #C, #D, #E
Classification:
Clinic/Center - 261QR0400X
Entity Type:
Organization
Specialization: Rehabilitation
Address:
310 MAGNOLIA WALK LANE
COLLEGE PARK, GA
ZIP 30349
Phone:
(404) 276-2222
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SPECTRUM HABILITATION SERVICE INC. is a rehabilitation clinic center in College Park, GA. SPECTRUM HABILITATION SERVICE INC. NPI is 1760714299. The provider is registered as an organization entity type.
The provider Is Doing Business As Spectrum Habilitation Services #a, #b, #c, #d, #e.
The provider's business location address is:
310 MAGNOLIA WALK LANE
COLLEGE PARK, GA
ZIP 30349
Phone: (404) 276-2222
Fax: (404) 691-4354
The provider's authorized official is Lydia Jackson-smith .
The authorized official title is Director and has the following contact phone number (404) 276-2222.
The enumeration date for this NPI number is 2/9/2010 and was last updated on 2/9/2010.