OrganizationActive
One on One Case Management Services
NPI 1508255308 · Preferred Provider Organization · Lithonia, GA
Provider details
- NPI number
- 1508255308
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Authorized official
- Ada Benton, Owner
- License
- 00237982 (GA)
Mailing address
3568 Eagle Rise
Lithonia, GA 30038-3531
Registry dates
- Enumerated
- 2015-01-16
- Last updated
- 2015-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.