| NPI | 1124552088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMILA EMBRY BURT Executive Director 770-406-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |