| NPI | 1043049729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EFUETLATEH Manager 404-643-8259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-07-30 |