| NPI | 1568182301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA KEEL-ANDERSON CEO 678-815-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101Y00000X Counselor |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| 305S00000X Point of Service | |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-09-05 |