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Preferred Provider Organization · ATLANTA, GA

Organization Active NPI 1457563207

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Preferred Provider Organization305R00000X✓62419GA
Child Mental Illness Respite Care385HR2055X62419GA
Child Intellectual and/or Developmental Disabilities Respite Care385HR2060X62419GA

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.