NPI | 1942374350 |
---|---|
Doing Business As | COOK DD SERVICES |
Entity Type | Organization |
Authorized Contact | SUE GUPTON Chief Executive Officer 229-671-6101 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
Enumeration Date | 2006-11-17 |
Last Update Date | 2008-12-15 |