| NPI | 1619115391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARDENA JOHNSON Chief Executive Officer 678-467-2778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-03 |