NPI | 1780814780 |
---|---|
Entity Type | Organization |
Authorized Contact | SONJI SHAZALE WILLINGHAM CEO/President 678-612-1213 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2009-07-24 |
Last Update Date | 2009-07-24 |