| NPI | 1013426386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIAN WILLIAMS President 770-896-7506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 174200000X |
| 177F00000X Lodging | |
| 251300000X Local Education Agency (LEA) | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251K00000X Public Health or Welfare | |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| 253J00000X Foster Care Agency | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 305R00000X Preferred Provider Organization | |
| 332U00000X Home Delivered Meals | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2017-09-29 |