| NPI | 1518458249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEKA ANDERSON Behavior Specialist 678-235-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 385HR2050X Respite Care, Respite Care Camp |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |