Organization · Type 2 NPI

Little Debbie's Second Chance Home, Inc.

Emotionally Disturbed Childrens' Residential Treatment Facility · Decatur, GA

NPI number 1487792396 Active

Practice location

3900 Leprechaun Ct
Decatur, GA 30034-2168

Fax (404) 288-0671

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XCC1001625 (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.

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About NPI 1487792396

Little Debbie's Second Chance Home, Inc.'s National Provider Identifier is 1487792396, issued on Feb 2, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Decatur, GA. The record was last updated on Apr 20, 2011.