| NPI | 1134629736 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | JANICE MARIE COOKS Executive Director CEO 404-297-8321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2020-07-08 |