# CW EDUCATIONAL AND BEHAVIORAL

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

## Provider details

- **NPI number:** 1952825531
- **Authorized official:** DR. VINCENTIA PAUL-CONSTANTIN PHD (DIRECTOR)
- **Authorized official phone:** (678) 613-1242

## Contact information

- **Practice address:** 7163 NADIR HOMES, ST THOMAS, VI 00802-1525
- **Practice address phone:** (678) 613-1242
- **Mailing address:** 2867 COUNTRY HOUSE LN, BUFORD, GA 30519-7647
- **Mailing address phone:** (678) 613-1242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | APC005918 | GA | Yes |
| 251300000X | Local Education Agency (LEA) | 444521 | GA | — |
| 251S00000X | Community/Behavioral Health Agency | APC0005918 | GA | — |
| 252Y00000X | Early Intervention Provider Agency | 444521 | GA | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | 444521 | GA | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | APC0005918 | GA | — |
| 261QM0850X | Adult Mental Health Clinic/Center | APC0005918 | GA | — |

## Other

- **Enumeration date:** 07/26/2017
- **Last updated:** 07/26/2017