| NPI | 1972277416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACEAN ALMARCO FORD Vice President/CFO/Cto 678-605-9994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101Y00000X Counselor |
| 174200000X | |
| 251K00000X Public Health or Welfare | |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2021-08-08 |
| Last Update Date | 2021-08-09 |