Individual provider · Type 1 NPI
Elizabeth Smith
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Monroe, GA
Practice location
1227 Dale Dr
Monroe, GA 30656-3500
Fax (706) 389-6760
Mailing address
250 North Ave
Athens, GA 30601-2244
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.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Monroe
About NPI 1821492034
Elizabeth Smith's National Provider Identifier is 1821492034, issued on Oct 17, 2014. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Monroe, GA. The record was last updated on Oct 17, 2014.