| NPI | 1679469688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEDRA ALLEN Owner 678-984-8683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2026-06-07 |