| NPI | 1922545805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMEELAH LAMB Registered Nurse 678-806-8463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: GA 16111798) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |