| NPI | 1801199914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHOLAM REZA BAKHTIARI President 404-688-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2010-12-10 |