| NPI | 1366200651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYNMARIE SABRINAH DORCE Founder & Executive Director 404-282-8292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |