Organization · Type 2 NPI
Our Spot
Emotionally Disturbed Childrens' Residential Treatment Facility · Statesboro, GA
NPI number
1912343302
Active
Practice location
1015 E Inman St
Statesboro, GA 30458-2049
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 13BL0437 (GA) |
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.
About NPI 1912343302
Our Spot's National Provider Identifier is 1912343302, issued on May 13, 2013. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Statesboro, GA. The record was last updated on Jan 21, 2015.