| NPI | 1679671507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS LOUISE PATILLO Director And Clinical Director 678-479-3505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: GA LPC004196) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |