| NPI | 1033654322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BRIGNOLLE Mgr. 862-224-0967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: GA 16112118) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |