NPI | 1215383633 |
---|---|
Entity Type | Organization |
Authorized Contact | TREVA LANIECE SEXTON CEO 770-288-0255 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management (Licence: GA APC004846) |
Additional Taxonomies | 251S00000X (Licence: GA APC004846) |
Enumeration Date | 2016-05-05 |
Last Update Date | 2022-07-07 |