Organization
UNITED CEREBRAL PALSY OF GEORGIA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE WILUSH (EXECUTIVE DIRECTOR)
(770) 676-2000
Entity
Organization
Contact information
Practice address
3300 NORTHEAST EXPY NE, BLDG 9, ATLANTA, GA 30341-3932
(770) 676-2000
(770) 455-8040
Mailing address
3300 N.E. EXPRESSWAY, BLDG 9, ATLANTA, GA 30341
(770) 676-2000
(770) 455-8040
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
12/04/2006
Last updated
10/16/2007
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