# WESTCARE GEORGIA

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

## Provider details

- **NPI number:** 1194942649
- **Authorized official:** ROBERT NERI (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (727) 490-6767

## Contact information

- **Practice address:** 827 PRYOR ST SW, ATLANTA, GA 30315-1016
- **Practice address phone:** (404) 761-7485
- **Practice address fax:** (404) 761-8427
- **Mailing address:** PO BOX 12019, ST PETERSBURG, FL 33733-2019
- **Mailing address phone:** (727) 490-6767
- **Mailing address fax:** (727) 835-0573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | C10000012118 | GA | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 12/06/2012
