| NPI | 1194076547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN JONES Owner 404-274-0753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA 06888) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: GA OT003694) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-09-25 |