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Organization
KEYSTONE CENTER FOR CHILDREN WITH AUTISM, INC.
Active
Organization
KEYSTONE CENTER FOR CHILDREN WITH AUTISM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS OWEN LANE III (CEO)
(404) 496-4673
Entity
Organization
Contact information
Practice address
1675 HEMBREE RD, ALPHARETTA, GA 30004-2083
(404) 496-4673
(404) 496-4674
Mailing address
1675 HEMBREE RD, ALPHARETTA, GA 30004-2083
(404) 496-4673
(404) 496-4674
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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