Organization · Type 2 NPI

Domina Umbrae LLC

Community/Behavioral Health Agency · Atlanta, GA

NPI number 1053748947 Active

Practice location

2155 Meador Ave SE
Atlanta, GA 30315-7407

Call (706) 442-9127 Map

Mailing address

330 High Hardin Way
Lawrenceville, GA 30043-6091

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	LPC004441 (GA)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1053748947

Domina Umbrae LLC's National Provider Identifier is 1053748947, issued on Oct 9, 2013. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Atlanta, GA. The record was last updated on Oct 9, 2013.