| NPI | 1770142309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH MANNING-GILBERT Fiscal Operations Manager 770-593-7420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |