Organization · Type 2 NPI
Kelly's Life Center
Mental Illness Community Based Residential Treatment Facility · Ellenwood, GA
NPI number
1144521428
Active
Practice location
3895 Tolliver Hills Dr
Ellenwood, GA 30294-1209
Fax (404) 963-7812
Mailing address
1616 Columbia Dr
Decatur, GA 30032-4613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility | 310400000X | 031012958 (GA) |
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 031012958 (GA) |
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.
Other mental illness community based residential treatment facility providers in Ellenwood
About NPI 1144521428
Kelly's Life Center's National Provider Identifier is 1144521428, issued on Nov 3, 2010. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Ellenwood, GA. The record was last updated on Nov 3, 2010.