Organization
CHANAN FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA BELL (ADMINISTRATOR)
(678) 715-8891
Entity
Organization
Contact information
Practice address
6470 CEDAR MOUNTAIN RD, DOUGLASVILLE, GA 30134-3505
(678) 715-8891
(770) 489-6517
Mailing address
6470 CEDAR MOUNTAIN RD, DOUGLASVILLE, GA 30134-3505
(678) 715-8891
(770) 489-6517
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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