| NPI | 1780316489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIARA BRACEY Prevention Specialist 678-437-7350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 174200000X Meals |
| 251B00000X Case Management | |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2022-06-30 |