| NPI | 1720144140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE LOVE CEO Owner 770-748-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities (Licence: GA OT001499) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |