| NPI | 1437332699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS MALPARTIDA Director 706-259-5579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: GA 050406) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: GA 053528) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2008-05-30 |