NPI age
10 years
Enumerated 2015-10-06
Across 176 active custodial care facility providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003152115A | |
| 05 (GA) | 003152115C | |
| 05 (GA) | 003130496A |
Single-site organization. Only one practice location on file.
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