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Organization · Mental Illness Community Based Residential Treatment Facility · Statham, GA

NPI

1841504511

Type

Organization (Type 2)

Primary specialty

Mental Illness Community Based Residential Treatment Facility (Community Based Residential Treatment Facility, Mental Illness)

Specialty group

Residential Treatment Facilities

Taxonomy code

320800000X

License number

007010311 (GA)

Enumerated

2010-08-04

Last updated

2010-08-04