Organization · Type 2 NPI
Cobb Community Services Board
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Marietta, GA
Practice location
218 South Ave SE
Marietta, GA 30060-2384
Fax (678) 213-1450
Mailing address
3830 S Cobb Dr SE, Suite 300
Smyrna, GA 30080-5532
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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About NPI 1801133459
Cobb Community Services Board's National Provider Identifier is 1801133459, issued on Jan 15, 2013. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Marietta, GA. The record was last updated on Jan 15, 2013.