| NPI | 1629517388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERA LOONEY Registered Behavior Technician 404-822-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |