NPI | 1740324805 |
---|---|
Other Name | FOX CENTER |
Other Name | CROSSROADS PEER & SUPPORTED EMPLOYMENT |
Entity Type | Organization |
Authorized Contact | FABIO BRUNO VAN DER MERWE COO 404-294-3836 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2007-02-20 |
Last Update Date | 2020-04-21 |