| NPI | 1558612374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LYNETTE THOMPSON Director 478-390-1172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: GA CLA 000754) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |