Organization · Type 2 NPI

Elm ST Cla

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Greensboro, GA

NPI number 1346510997 Active

Practice location

202 E Elm St
Greensboro, GA 30642-1329

Mailing address

250 North Ave
Athens, GA 30601-2244

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1346510997

Elm ST Cla's National Provider Identifier is 1346510997, issued on Jan 12, 2012. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Greensboro, GA. The record was last updated on Jan 12, 2012.