| NPI | 1295347888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IEISHA ALZANAM Rbt / Owner 770-375-0959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |