| NPI | 1922980762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBEY TAYLOR STAPLES Owner 229-921-8975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2025-07-23 |
| Last Update Date | 2025-07-23 |