| NPI | 1225476260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE PRICE Owner/Manager 478-595-4479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-12 |