# UNITED CEREBRAL PALSY OF GEORGIA INC.

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

## Provider details

- **NPI number:** 1134297328
- **Authorized official:** MS. DIANE WILUSH (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (770) 676-2000

## Contact information

- **Practice address:** 3300 NORTHEAST EXPY NE, BLDG 9, ATLANTA, GA 30341-3932
- **Practice address phone:** (770) 676-2000
- **Practice address fax:** (770) 455-8040
- **Mailing address:** 3300 N.E. EXPRESSWAY, BLDG 9, ATLANTA, GA 30341
- **Mailing address phone:** (770) 676-2000
- **Mailing address fax:** (770) 455-8040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 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