| NPI | 1063990778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAN TRAN Executive Director 770-289-2665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: GA ADC000183) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |