| NPI | 1043549330 |
|---|---|
| Other Name | SUCCESSFUL OUTCOMES-COMP |
| Entity Type | Organization |
| Authorized Contact | ALICIA MICHELLE HOWARD Credentialing 706-670-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2023-02-10 |