Organization
NEWHAVEN
Active
Other names
crosby & Shaw
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY SHAW (PRESIDENT)
(229) 896-7669
Entity
Organization
Contact information
Practice address
615 SOUTH HUTCHINSON AVENUE, ADEL, GA 31620
(229) 896-7669
(229) 896-9703
Mailing address
615 SOUTH HUTCHINSON AVENUE, ADEL, GA 31620
(229) 896-7669
(229) 896-9703
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
03701005
GA
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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