| NPI | 1992234082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELINA YVETTE ELLIS Owner 770-679-4861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251K00000X Public Health or Welfare | |
| 251S00000X | |
| 251T00000X PACE Provider Organization | |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2017-06-12 |