| NPI | 1871131813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED JEFFRIES Owner 678-462-2577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 111N00000X Chiropractor | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 171M00000X Case Manager/Care Coordinator | |
| 171WH0202X Contractor, Home Modifications | |
| 2080S0010X Pediatrics, Sports Medicine | |
| 2083S0010X Preventive Medicine, Sports Medicine | |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2020-01-06 |