| NPI | 1043906290 |
|---|---|
| Doing Business As | LAG YOUTH FOUNDATION INC |
| Entity Type | Organization |
| Authorized Contact | BRYANT BERNARD BAILEY Owner 470-954-9982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |