| NPI | 1669547030 |
|---|---|
| Other Name | GRO |
| Entity Type | Organization |
| Authorized Contact | GLENN BUTLER Billing Mgr 706-227-7250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |