| NPI | 1235976507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS CRAWFORD Bcba/CEO 470-955-0602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251S00000X |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2024-07-16 |