| NPI | 1487905287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA THOMAS Director 678-508-1267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| 253Z00000X In Home Supportive Care | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |