| NPI | 1992127104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIQUITA KARVA Administrator 770-371-0561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MI 4704218369) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-01-08 |