NPI 1053473405
Supported Employment Specialists
Practice location
- Address
- 615 Roswell St NE Suite 110, Marietta, GA 30060-2196
- Phone
- (770) 499-2172
- Fax
- (678) 354-2670
Authorised official
- Name
- Danna Kaye Long
- Title
- Ceo
- Phone
- (770) 499-2172
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1053473405
- Entity type
- Organization
- NPI issued
- 14 Dec 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.