Organization · Type 2 NPI
Samo Holdings, Inc
Mental Illness Community Based Residential Treatment Facility · Ellenwood, GA
NPI number
1598055691
Active
Practice location
5530 Swanson Rd
Ellenwood, GA 30294-3857
Fax (678) 264-5461
Mailing address
2467 Chauncey Ln SW
Marietta, GA 30064-4536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 031013109 (GA) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 031013109 (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 Ellenwood
About NPI 1598055691
Samo Holdings, Inc's National Provider Identifier is 1598055691, issued on Apr 11, 2011. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Ellenwood, GA. The record was last updated on Apr 11, 2011.