| NPI | 1174319149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYERRA ADAMS Co Owner 470-473-8257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2025-04-24 |