| NPI | 1881245942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA FITZGERALD CEO 770-961-1997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251E00000X Home Health |
| 261QD0000X Clinic/Center Dental | |
| 261QF0050X Clinic/Center Family Planning, Non-Surgical | |
| 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QP1100X Clinic/Center Podiatric | |
| 261QP2000X Clinic/Center Physical Therapy | |
| 261QP2300X Clinic/Center Primary Care | |
| 261QR1300X Clinic/Center Rural Health | |
| 261QX0100X Clinic/Center Occupational Medicine | |
| 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347E00000X Transportation Broker | |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |