| NPI | 1073191805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA DENNIS Executive Director 678-713-6720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2021-04-01 |