| NPI | 1265274898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRONE H MCCOY Administrator 404-824-4881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |