| NPI | 1114354438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREKA TINCH Executive Director 678-792-8387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251B00000X Case Management |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-10-01 |