| NPI | 1811266976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORA J WALTERS Owner 678-729-7221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 261QA0006X Clinic/Center, Ambulatory Fertility Facility | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |