| NPI | 1538464508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN TUCKER Billing Manger 678-513-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2011-01-21 |