| NPI | 1659176071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHATAVIA A CALLAWAY Owner 478-241-8230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital |
| Additional Taxonomies | 2080P0008X Pediatrics Neurodevelopmental Disabilities |
| 261QM3000X Clinic/Center Medically Fragile Infants and Children Day Care | |
| 385H00000X Respite Care | |
| 385HR2050X Respite Care Respite Care Camp | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2025-02-18 |
| Last Update Date | 2025-02-18 |