# ENABLE OF GEORGIA, INC.

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

## Provider details

- **NPI number:** 1902232598
- **Authorized official:** DR. HARRY STERN PHD (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (770) 664-4347

## Contact information

- **Practice address:** 1200 OLD ELLIS RD, ROSWELL, GA 30076-3850
- **Practice address phone:** (770) 664-4347
- **Practice address fax:** (770) 740-0650
- **Mailing address:** 1200 OLD ELLIS RD, ROSWELL, GA 30076-3850
- **Mailing address phone:** (770) 664-4347
- **Mailing address fax:** (770) 740-0650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/16/2013
- **Last updated:** 09/17/2013
