| NPI | 1184090086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MAXWELL RUBIN CEO/Owner/Counselor 770-759-0351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA LPC008469) |
| Additional Taxonomies | 251S00000X (Licence: GA 507744) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-09-07 |