Organization · Type 2 NPI
Integrated Life Center, Inc.
Mental Illness Community Based Residential Treatment Facility · Stone Mountain, GA
NPI number
1427199199
Active
Practice location
4641 Stonegate Industrial Blvd
Stone Mountain, GA 30083-1908
Fax (404) 292-9903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 025893 (GA) |
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.
Another provider at this address
Other mental illness community based residential treatment facility providers in Stone Mountain
About NPI 1427199199
Integrated Life Center, Inc.'s National Provider Identifier is 1427199199, issued on Feb 8, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Stone Mountain, GA. The record was last updated on Nov 21, 2011.