| NPI | 1730480369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTIE R JOHNSON Owner/Adminstrator 706-202-4271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: GA 147010211) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2010-11-12 |