| NPI | 1487883914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | P P C 770-934-4202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2015-06-22 |