| NPI | 1104182864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENNA SHARELL REESE CEO/Administrator 706-284-9959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2012-04-07 |
| Last Update Date | 2012-04-07 |