| NPI | 1972331718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA CHANEY Owner 469-975-2391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care | |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-07-23 |