| NPI | 1881903359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVEISHA MOBLEY Executive Director 678-923-8136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2010-10-01 |