| NPI | 1063765063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABATHA SHINKIA CRAWFORD CEO/Founder 912-441-2267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |