| NPI | 1144972357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATYSHIA SMITH Director 470-977-2747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251J00000X Nursing Care |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| 253J00000X Foster Care Agency | |
| 305R00000X Preferred Provider Organization | |
| 302R00000X Health Maintenance Organization | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 251B00000X Case Management | |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2024-01-17 |