| NPI | 1538336524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA JO CALANDRINO Day Services Coordinator 770-995-6902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |