Individual provider · Type 1 NPI
Tracy Gae Hollis, MANAGER
Child Intellectual and/or Developmental Disabilities Respite Care · Atlanta, GA
NPI number
1750952370
Active
Practice location
251 Mathewson Pl SW
Atlanta, GA 30314-2630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care Primary | 385HR2060X | None listed |
Child Intellectual and/or Developmental Disabilities Respite Care: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
About NPI 1750952370
Tracy Gae Hollis, MANAGER's National Provider Identifier is 1750952370, issued on Jul 6, 2021. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Atlanta, GA. The record was last updated on Jul 6, 2021.