| NPI | 1396015962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIA NICOLE WIGGINS Director 678-833-1812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2014-09-26 |