| NPI | 1487159240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA BULLARD-MANUEL Secretary 706-315-7723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: GA AC000201) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-08-17 |