| NPI | 1023528932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YONG KIM Manager 770-447-4898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: GA 2017153816) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |