Organization · Type 2 NPI

Providence Care Inc

Community/Behavioral Health Agency · Fairburn, GA

NPI number 1376805630 Active

Practice location

216 NW Broad St Ste B
Fairburn, GA 30213-4106

Call (678) 489-2069 Map

Fax (678) 489-8627

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X060-R-1019 (GA)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1376805630

Providence Care Inc's National Provider Identifier is 1376805630, issued on Jun 13, 2012. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Fairburn, GA. The record was last updated on Jun 13, 2012.