Organization
NACIEMA CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ANN SLADE (PRESIDENT)
(678) 847-1353
Entity
Organization
Contact information
Practice address
3200 STONE RD SW APT W8, ATLANTA, GA 30331-2920
(678) 847-1353
Mailing address
3200 STONE RD SW APT W8, ATLANTA, GA 30331-2920
(678) 847-1353
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/22/2009
Last updated
03/22/2009
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