| NPI | 1437250438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMARR EDWARD RAWLINSON Owner/Operator 404-838-5943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: GA BR016347) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |