| NPI | 1790955680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE L. TIGGS CEO 770-679-5568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: GA MSW004363) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |