NPI | 1215251640 |
---|---|
Doing Business As | EARLY DETECTION INTERVENTION CLINIC |
Entity Type | Organization |
Authorized Contact | RONNIE E BASS Executive Director 678-921-2706 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2010-03-14 |
Last Update Date | 2023-03-17 |