| NPI | 1811587868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEQUANTA MYESHIA SCOTT Program Manager 470-546-6798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2021-01-24 |
| Last Update Date | 2025-07-09 |