| NPI | 1184590945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JACKSON CEO/Program Director 478-461-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-16 |