| NPI | 1790055432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLYNN CORLEY KENNA Occupational Therapist / Director 706-340-3481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-05-15 |