Organization
SUMTER YOUTH DEVELPMENT CAMPUS
Active
Parent organization
GEORGIA DEPARTMENT OF JUVENILE JUSTICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA DEPARTMENT OF JUVENILE JUSTICE
Authorized official
MRS. MICHELLE STAPLES HORNE M.D. (DIRECTOR HEALTH SERVICES)
(404) 508-6681
Entity
Organization
Contact information
Practice address
300 MCMATH MILL RD, AMERICUS, GA 31719-8669
(229) 931-5800
Mailing address
300 MCMATH MILL ROAD, AMERICUS, GA 31714-8669
(229) 931-5800
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
RN125194
GA
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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