| NPI | 1922403500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA HAMBRICK Case Manager/Service Coordinator 229-815-4636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2014-10-25 |
| Last Update Date | 2014-10-25 |