| NPI | 1629842158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY WILLIAMS Clinical Supervisor 404-225-1105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-12-12 |