NPI age
13 years
Enumerated 2012-09-24
Across 35 active intermediate care facility, intellectual disabilities providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (NC) | MHL-041-1061 | LICENSE |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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