# DILLARD ACADEMY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dillard Foundation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124459912
- **Authorized official:** DR. JEFF BAKER SC.D (CONSULTANT)
- **Authorized official phone:** (404) 806-0434

## Contact information

- **Practice address:** 8014 CUMMING HWY, SUITE 403302, CANTON, GA 30115-9339
- **Practice address phone:** (404) 806-0434
- **Mailing address:** 1602 STEPHENS ST, GOLDSBORO, NC 27530-6720
- **Mailing address phone:** (919) 738-1206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 251300000X | Local Education Agency (LEA) | — | NULL | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 12/05/2013
- **Last updated:** 12/05/2013