DERRICK GAUSE

COLUMBUS, GA
NPI1386150712
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251C00000X Day Training, Developmentally Disabled Services
Enumeration Date2017-12-21
Last Update Date2017-12-21
Business Address
DERRICK GAUSE
2401 BUENA VISTA RD
COLUMBUS, GA 31906-3142
Phone number: 706-323-7244
Mailing Address
DERRICK GAUSE
2401 BUENA VISTA RD
COLUMBUS, GA 31906-3142
Phone number: