| NPI | 1659244036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WILLIAMSON CEO 470-800-9650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 251B00000X Case Management |
| 261QH0100X Clinic/Center, Health Services | |
| 251T00000X PACE Provider Organization | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 251S00000X Community/Behavioral Health | |
| 261QC1500X Clinic/Center, Community Health | |
| 251E00000X Home Health | |
| 261QR1300X Clinic/Center, Rural Health | |
| 261Q00000X Clinic/Center | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 332U00000X Home Delivered Meals | |
| Enumeration Date | 2025-09-24 |
| Last Update Date | 2026-02-18 |