NPI | 1376891556 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAHZAD HASHMI Owner 678-682-8746 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA RN178428) |
Enumeration Date | 2012-08-20 |
Last Update Date | 2012-08-20 |