| NPI | 1366239477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY DAVIS Owner 706-880-1370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-07-23 |