| NPI | 1073999439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY HART Billing Manager 706-845-4045 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |