| NPI | 1144619016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MCKEISHA L WASHINGTON Managing Partner 770-687-9445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |