| NPI | 1700183365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL WOHIREN Director 678-581-1831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: GA 00061603) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |