OrganizationActive
Developmental Enrichment Services, Inc.
NPI 1225158371 · Developmental Disabilities Clinic/Center · Stone Mountain, GA
Provider details
- NPI number
- 1225158371
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gretchen Jaccino, President(770) 879-0817
- License
- 00016 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3615 S Rockbridge Rd
Stone Mountain, GA 30087-4408
Phone: (770) 879-0817
Approximate (ZIP-level) locationGet directions
Mailing address
3615 S Rockbridge Rd
Stone Mountain, GA 30087-4408
Registry dates
- Enumerated
- 2007-03-30
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.