Organization
CELESTIAL CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CELESTINE B HARRIS (CEO)
(770) 948-0709
Entity
Organization
Contact information
Practice address
6571 VALLEY HILL DR SW, MABLETON, GA 30126-5151
(770) 948-0709
(770) 948-3109
Mailing address
6571 VALLEY HILL DR SW, MABLETON, GA 30126-5151
(770) 948-0709
(770) 948-3109
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
033011031
GA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
033011031
GA
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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