Organization · Type 2 NPI

Mister Life Coach

Emotionally Disturbed Childrens' Residential Treatment Facility · Decatur, GA

NPI number 1619403219 Active

Practice location

3681 N Decatur Rd Apt R11
Decatur, GA 30032-1062

Mailing address

PO Box 283
Rex, GA 30273-0283

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

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 1619403219

Mister Life Coach's National Provider Identifier is 1619403219, issued on May 3, 2017. 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 May 3, 2017.