| NPI | 1336559343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA KITCHEN Owner 404-573-8151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW001493) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |