| NPI | 1316796972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MOORE Director 678-842-3856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-05-16 |