| NPI | 1053700260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA K STEELE-PARKS CEO 678-974-2162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: GA 16805893) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: GA 16805893) |
| 251S00000X (Licence: GA 16805893) | |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2024-10-25 |