OrganizationActive
Changing Lives Today
NPI 1417293564 · Developmentally Disabled Services Day Training Agency · Douglasville, GA
Provider details
- NPI number
- 1417293564
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Alvin Terrell, President(678) 365-8349
Specialties & taxonomies
Agencies
Practice location
3240 Ancoats St
Douglasville, GA 30135-8199
Phone: (678) 365-8349
Approximate (ZIP-level) locationGet directions
Mailing address
3240 Ancoats St
Douglasville, GA 30135-8199
Registry dates
- Enumerated
- 2012-12-18
- Last updated
- 2012-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.