| NPI | 1942084579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMARIO BROWN Owner/Operator 912-724-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251E00000X Home Health |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2023-08-25 |