| NPI | 1043010424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HONIDU MARICO Cognitive Behavioral Coach 470-336-2149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251V00000X Voluntary or Charitable | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-03-15 |
| Last Update Date | 2025-07-25 |