| NPI | 1407186067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI MACHARIA VENISEE Owner 770-846-7524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251C00000X | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2011-12-21 |