| NPI | 1386025641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUNTOYA CHATMAN Owner 478-401-4748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA CSW005428) |
| Additional Taxonomies | 251B00000X Case Management (Licence: GA CSW005428) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2021-07-22 |