| NPI | 1902297914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MCKEISHA L WASHINGTON Managing Partner 770-687-9445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |