| NPI | 1306289657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIQUITA S WAINWRIGHT Owner 678-851-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |