NPI | 1477812600 |
---|---|
Entity Type | Organization |
Authorized Contact | TRESHONDA FRAZIER CEO/Owner 678-644-9188 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: GA SLP005692) |
Enumeration Date | 2012-05-08 |
Last Update Date | 2012-05-08 |