| NPI | 1114167665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY M GORDON Organizer 912-484-5608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |