| NPI | 1295905073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS E CARON President 706-857-2133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: GA 046377) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |