NPI | 1154796472 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRIS JOHNSTON CEO 404-889-8425 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management (Licence: GA 069208) |
Additional Taxonomies | 305R00000X Preferred Provider Organization |
Enumeration Date | 2015-12-11 |
Last Update Date | 2015-12-11 |