| NPI | 1356818017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA GRAY MILLER Owner/Administrator 770-713-6486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |