| NPI | 1578919569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER MARIE SWINFORD Owner 404-985-1835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: GA MT011091) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2017-02-17 |