| NPI | 1063386340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GODWIN MOYO Senior Management 470-886-8125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-10-01 |