| NPI | 1154494359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE GUPTON Chief Executive Officer 229-671-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2008-12-15 |