| NPI | 1093122533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASSANDRA ALEXANDRIA BANKS-WATKINS CEO/Founder 678-536-7614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2019-04-04 |