NPI age
14 years
Enumerated 2012-01-31
Across 300 active community based residential treatment facility, intellectual and/or developmental disabilities providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 501494795B | |
| 05 (GA) | 501494795D |
Single-site organization. Only one practice location on file.
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