# PEACEFUL RIVER RESIDENTIAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093175283
- **Authorized official:** PAMELA S WILLIAMS (OWNER)
- **Authorized official phone:** (706) 681-4211

## Contact information

- **Practice address:** 746 RUDGATE RD, COLUMBUS, GA 31904-2929
- **Practice address phone:** (706) 571-8859
- **Practice address fax:** (706) 243-6357
- **Mailing address:** 746 RUDGATE RD, COLUMBUS, GA 31904-2929
- **Mailing address phone:** (706) 571-8859
- **Mailing address fax:** (706) 243-6357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | CLA001207 | GA | Yes |

## Other

- **Enumeration date:** 03/01/2016
- **Last updated:** 03/01/2016