| NPI | 1639658321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FABIOLA FLEMENS CEO 404-518-7851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 251V00000X Voluntary or Charitable | |
| 253Z00000X In Home Supportive Care | |
| 261QV0200X Clinic/Center, VA | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |