Organization · Type 2 NPI

Georgia Dept of Human Resources

Mental Illness Community Based Residential Treatment Facility · Macon, GA

NPI number 1508988270 Active

Practice location

2030 Ingleside Ave
Macon, GA 31204-2028

Mailing address

647 Swint Ave
Milledgeville, GA 31062-7525

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

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.

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About NPI 1508988270

Georgia Dept of Human Resources's National Provider Identifier is 1508988270, issued on Apr 4, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Macon, GA. The record was last updated on Aug 22, 2020.