| NPI | 1457650202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE DENISE DAWSON Executive Director 678-481-0425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2011-03-18 |