Organization
WELLINGTONPLACE OF SERENITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ELIZABETH JAKA (EXECUTIVE DIRECTOR)
(404) 423-3973
Entity
Organization
Contact information
Practice address
240 AMBERTON CT, JOHNS CREEK, GA 30097-1896
(404) 423-3973
Mailing address
240 AMBERTON CT, JOHNS CREEK, GA 30097-1896
(404) 423-3973
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
0009922
GA
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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