| 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 |