| NPI | 1396237731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENTIA PAUL-CONSTANTIN Director 678-613-1242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: GA 444521) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VI 2328431L) |
| 101YM0800X Counselor Mental Health (Licence: VI 2328431L) | |
| 252Y00000X Early Intervention Provider Agency (Licence: GA 444521) | |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2021-03-24 |