| NPI | 1316464415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALILAH L DAVIS President 888-422-0262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA 1073905444) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2022-07-21 |