| NPI | 1700127446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE WYNTER Occupational Therapist 770-819-7690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: GA OT002648) |
| Additional Taxonomies | 251E00000X Home Health |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2013-03-05 |