| NPI | 1548564172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICKY ALTIKULAC Director/Owner 404-394-3382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA 0-090-3051) |
| Additional Taxonomies | 251S00000X (Licence: GA 0-090-3036) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2011-03-15 |