| NPI | 1265910632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASAQ SARUMI Owner 404-822-0946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 175T00000X Peer Specialist | |
| 347C00000X Private Vehicle (Licence: GA 309730029) | |
| 347E00000X Transportation Broker (Licence: GA 309730029) | |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2022-10-22 |