| NPI | 1720421399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHELY SELLERS Owner Operator 229-638-0627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: GA SLP007125) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: GA SLP007125) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2013-04-12 |