| NPI | 1043451784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WALL Executive Director 770-888-8988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: GA 013010) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2009-03-10 |