| NPI | 1669275020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMIE JO NICHOLS Infant Toddler Family Specialist 706-835-5370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-03-31 |