| NPI | 1376939520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LANE Director Of Administration 770-633-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |