| NPI | 1972974863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALBA GOMEZ Buisness Administrator 678-492-8477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: SC 17267) |
| Enumeration Date | 2015-10-17 |
| Last Update Date | 2015-10-17 |