| NPI | 1740645464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEKESA MICHELL BLACK President 404-946-0248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: GA RN214831) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2016-02-15 |