| NPI | 1235420852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA DANIELS CEO 770-471-7320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: GA 031011501) |
| Enumeration Date | 2011-04-30 |
| Last Update Date | 2011-04-30 |