Organization · Type 2 NPI
Georgia Community Living Facilities LLC
Mental Illness Community Based Residential Treatment Facility · Fayetteville, GA
NPI number
1730457458
Active
Practice location
500 Lanier Ave W Ste 610
Fayetteville, GA 30214-7644
Fax (678) 817-5909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 007876 (GA) |
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 007874 (GA) |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | None 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.
3 other providers at this address
About NPI 1730457458
Georgia Community Living Facilities LLC's National Provider Identifier is 1730457458, issued on Dec 8, 2011. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Fayetteville, GA. The record was last updated on Mar 29, 2013.