| NPI | 1326561960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANTHONY Medical Billing Associate 678-894-0388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |