Organization
SUPER STARS CHILD RESEARCH AND DEVELOPMENT CENTER, INC
Active
Other names
SUPER S.T.A.R.S CHILD RESEARCH AND DEVELOPMENT CENTER, SUPER S.T.A.R.S, SUPER SUPPORTIVE TEACHING FOR ACHIEVEING REMARKABLE SUCCESS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SRAVANI GUNDA (CHIEF EXECUTIVE OFFICER)
(678) 249-9206
Entity
Organization
Contact information
Practice address
5230 JOT EM DOWN RD, CUMMING, GA 30041-3406
(678) 249-9206
Mailing address
4515 WILDBROOKE PKWY, CUMMING, GA 30041-4824
(678) 249-9206
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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