Organization
COLLECTIVE LEARNING ACADEMY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA DEISLEY (CEO)
(404) 721-0079
Entity
Organization
Contact information
Practice address
2715 PEACHTREE RD NE, ATLANTA, GA 30305-2907
(404) 721-0079
Mailing address
2715 PEACHTREE RD NE, ATLANTA, GA 30305-2907
(404) 721-0079
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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