Organization · Type 2 NPI
Chestnut Manor, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility · Lithia Springs, GA
Practice location
8673 Chestnut Ln
Lithia Springs, GA 30122-3410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 12040 (GA) |
| Non-emergency Medical Transport (VAN) | 343900000X | 12040 (GA) |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | 12040 (GA) |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
About NPI 1386921336
Chestnut Manor, Inc.'s National Provider Identifier is 1386921336, issued on Nov 4, 2011. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Lithia Springs, GA. The record was last updated on Nov 4, 2011.