| NPI | 1801113469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SMITH Director 678-517-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 149819) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: NC 149819) |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2010-04-22 |