Organization · Type 2 NPI

Providence Residential & Outpatient PTSD Services (props)

Mental Illness Community Based Residential Treatment Facility · Douglasville, GA

NPI number 1336480201 Active

Practice location

3400 Chapel Hill Rd, Suite 100 Pmb #08
Douglasville, GA 30135-1739

Mailing address

PO Box 5464
Douglasville, GA 30154-0008

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

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.

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About NPI 1336480201

Providence Residential & Outpatient PTSD Services (props)'s National Provider Identifier is 1336480201, issued on Mar 1, 2013. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Douglasville, GA. The record was last updated on Mar 1, 2013.