| NPI | 1669881512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATANDRA HART Director 678-294-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251V00000X Voluntary or Charitable | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2015-01-13 |