| NPI | 1548530058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVIS RENEE KING Chief Executive Officer 404-323-6198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA CSW000573) |
| Additional Taxonomies | 251B00000X Case Management (Licence: GA CSW000573) |
| 251X00000X | |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| 252Y00000X Early Intervention Provider Agency (Licence: GA CSW000573) | |
| Enumeration Date | 2012-01-01 |
| Last Update Date | 2012-01-12 |