| NPI | 1851849616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA A SHANKLIN Executive Director 678-902-5239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 251B00000X Case Management | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2017-09-29 |