| NPI | 1164846499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK E KIMBLE CEO 706-495-2351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251E00000X Home Health | |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |