| NPI | 1184095937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR T KNIGHT Therapist 404-556-9544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA LPC008502) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |