| NPI | 1508733460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE KIMBROUGH CFO 770-778-9667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2025-10-23 |
| Last Update Date | 2025-10-23 |