| NPI | 1982216503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEKA DUNCAN Owner 678-590-1170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251S00000X |
| 261QC1500X Clinic/Center, Community Health | |
| 101Y00000X Counselor | |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QS1000X Clinic/Center, Student Health | |
| 291U00000X Clinical Medical Laboratory | |
| 305R00000X Preferred Provider Organization | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2023-03-06 |