| NPI | 1619575834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA MICHELLE MOORE CEO 678-739-1879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2021-12-09 |