| NPI | 1396338927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE BRIDGES COLEY Agency Director 706-221-6278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2021-02-15 |