| NPI | 1932737046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA P COLEY Owner/Operator 678-963-4068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174200000X |
| Additional Taxonomies | 372600000X Adult Companion |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |