Organization
YOUTH EMPORIUM INC
Active
Organization
YOUTH EMPORIUM INC
Active
Other names
YOUTH EMPORIUM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA L HILLMAN DR, MSPSL, BA (PRESIDENT & EX. DIRECTOR)
(678) 521-5245
Entity
Organization
Contact information
Practice address
3400 CHAPEL HILL RD, DOUGLASVILLE, GA 30135-1739
(678) 521-5245
(678) 812-3633
Mailing address
3400 CHAPEL HILL RD, DOUGLASVILLE, GA 30135-1739
(678) 521-5245
(678) 812-3633
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251300000X
Local Education Agency (LEA)
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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