| NPI | 1215396122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NA'KEYA C THOMAS Owner/Director 678-334-6381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 164W00000X Licensed Practical Nurse | |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2021-05-27 |