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Organization
UNITED CEREBRAL PALSY OF GEORGIA INC.
Active
Organization
UNITED CEREBRAL PALSY OF GEORGIA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE WILUSH (EXECUTIVE DIRECTOR)
(770) 676-2000
Entity
Organization
Contact information
Practice address
3300 NORTHEAST EXPY NE, BLDG 9, ATLANTA, GA 30341-3932
(770) 676-2000
(770) 455-8040
Mailing address
3300 N.E. EXPRESSWAY, BLDG 9, ATLANTA, GA 30341
(770) 676-2000
(770) 455-8040
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
Other
Enumeration date
12/04/2006
Last updated
10/16/2007
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