Organization · Type 2 NPI

Bagley Youth Development

Community/Behavioral Health Agency · College Park, GA

NPI number 1811034317 Active

Practice location

2245 Godby Rd, Suite 206
College Park, GA 30349-5059

Fax (404) 968-4562

Mailing address

375 Windermere Cir
Newnan, GA 30265-2278

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XLPC001132 (GA)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1811034317

Bagley Youth Development's National Provider Identifier is 1811034317, issued on Jan 31, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in College Park, GA. The record was last updated on May 19, 2009.