| NPI | 1215592431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES L MILLER CFO 678-705-9527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-05-02 |