| NPI | 1366198582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEKA DUNCAN Owner 678-590-1170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Additional Taxonomies | 174200000X Meals |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 261QM0801X | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2024-03-08 |