# SUMTER YOUTH DEVELPMENT CAMPUS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GEORGIA DEPARTMENT OF JUVENILE JUSTICE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700214574
- **Legal business name:** GEORGIA DEPARTMENT OF JUVENILE JUSTICE
- **Authorized official:** MRS. MICHELLE STAPLES HORNE M.D. (DIRECTOR HEALTH SERVICES)
- **Authorized official phone:** (404) 508-6681

## Contact information

- **Practice address:** 300 MCMATH MILL RD, AMERICUS, GA 31719-8669
- **Practice address phone:** (229) 931-5800
- **Mailing address:** 300 MCMATH MILL ROAD, AMERICUS, GA 31714-8669
- **Mailing address phone:** (229) 931-5800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | RN125194 | GA | Yes |

## Other

- **Enumeration date:** 10/14/2013
- **Last updated:** 10/14/2013