Organization · Type 2 NPI

Georgia Department of Human Resources

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

NPI number 1154597672 Active

Practice location

120 Daphney St SE
Milledgeville, GA 31061-4342

Specialties and licenses

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.

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About NPI 1154597672

Georgia Department of Human Resources's National Provider Identifier is 1154597672, issued on May 5, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Milledgeville, GA. The record was last updated on May 5, 2008.