| NPI | 1205186962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M JOHNSON President 404-604-0092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 171M00000X Case Manager/Care Coordinator | |
| 246Z00000X Specialist/Technologist, Other | |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2013-01-09 |