| NPI | 1972318418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY STALLWORTH Ryan White Adap Coordinator 404-817-9994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |