NPI | 1184023244 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTWAN GILBERT AIKEN Owner/Founder 404-964-6147 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 6167) |
Enumeration Date | 2014-08-14 |
Last Update Date | 2015-01-26 |