| NPI | 1619059086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY EDWARD VOCCIO Medical Director 706-295-6704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: GA 025271) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2024-02-22 |