Organization · Type 2 NPI

Department of Behavioral Health and Developmental Disabilities

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Columbus, GA

NPI number 1053547067 Active

Practice location

4916 Lapaloma Dr
Columbus, GA 31907-2741

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

2 other providers at this address

Other intellectual and/or developmental disabilities community based residential treatment facility providers in Columbus

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NPI record

NPI: 1053547067
Entity type: Organization (Type 2)
Issued: Jun 4, 2009
Last updated: Jun 21, 2018
Status: Active

Other names

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West Central Behavioral Health Hub - Intensive Treatment Res. (female) · doing business as

Authorized official

Mr. Rick Garcia
Program Director
(706) 568-5118

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053547067

Department of Behavioral Health and Developmental Disabilities's National Provider Identifier is 1053547067, issued on Jun 4, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Columbus, GA. The record was last updated on Jun 21, 2018.