| NPI | 1659792422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE DACHA PROSPER Director 678-561-0379 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2013-12-22 |
| Last Update Date | 2013-12-22 |