| NPI | 1538470695 |
|---|---|
| Doing Business As | CPACS@DEKALB |
| Entity Type | Organization |
| Authorized Contact | CHAIWON KIM CEO 770-936-0969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2022-04-21 |