| NPI | 1336190511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE V HARDWICK Qwner 404-918-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: VA 2305211032) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2022-07-21 |