OrganizationActive
Great Start Development Center, LLC
NPI 1356818017 · Early Intervention Provider Agency · Kennesaw, GA
Provider details
- NPI number
- 1356818017
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Samantha Gray Miller, Owner/Administrator(770) 713-6486
Specialties & taxonomies
Agencies
Practice location
975 Cobb Place Blvd Nw Ste 101
Kennesaw, GA 30144-6848
Phone: (770) 713-6486
Approximate (ZIP-level) locationGet directions
Mailing address
975 Cobb Place Blvd Nw Ste 101
Kennesaw, GA 30144-6848
Registry dates
- Enumerated
- 2018-10-30
- Last updated
- 2018-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.