| NPI | 1063291540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA L WALLACE Office Manager 706-235-5109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-09-25 |