| NPI | 1730503780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE MARIE GOOSBY Executive Director/Owner 404-805-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AL 0402C) |
| Additional Taxonomies | 251B00000X Case Management (Licence: AL 0402C) |
| 252Y00000X Early Intervention Provider Agency (Licence: AL 0402C) | |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-02-11 |