| NPI | 1104212828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BROOKS Health System Specialist 478-272-1210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: GA MSW005953) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |