| NPI | 1417276601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN R TUCKER Billing Manager 678-513-5733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-07-23 |