NPI | 1730856089 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK PRUITT CEO 770-668-3915 |
Organization Subpart ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 251E00000X Home Health |
251S00000X Community/Behavioral Health | |
252Y00000X Early Intervention Provider Agency | |
Enumeration Date | 2021-08-25 |
Last Update Date | 2021-08-25 |