| NPI | 1982989794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENEKA HUMPHREY Director 404-353-9432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |