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 |