| NPI | 1689121766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WILLIAMS Owner/President 877-500-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: GA MT006947) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |