Organization · Type 2 NPI
Kelly Town Family Group
Mental Illness Community Based Residential Treatment Facility · Mcdonough, GA
NPI number
1114237567
Active
Practice location
618 Medway Drive
Mcdonough, GA 30253
Mailing address
618 Medway Dr
Mcdonough, GA 30252-4155
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 20100006464 (AL) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
About NPI 1114237567
Kelly Town Family Group's National Provider Identifier is 1114237567, issued on Oct 19, 2010. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Mcdonough, GA. The record was last updated on Oct 19, 2010.