| NPI | 1417255738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN R TUCKER Billing Specialist 678-689-9781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-03-10 |