NPI | 1518004217 |
---|---|
Entity Type | Organization |
Authorized Contact | AUGUSTINA GIBSON Director 404-767-4171 |
Organization Subpart ? | No |
Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist (Licence: GA 20065203) |
Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
Enumeration Date | 2007-01-31 |
Last Update Date | 2022-08-19 |