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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