Organization · Type 2 NPI

Ga Department of Juvenile Justice

Emotionally Disturbed Childrens' Residential Treatment Facility · Decatur, GA

NPI number 1700924750 Active

Practice location

3408 Covington Hwy
Decatur, GA 30032-1513

Fax (404) 508-5091

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
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 1700924750

Ga Department of Juvenile Justice's National Provider Identifier is 1700924750, 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 Sep 11, 2025.