Organization
DOWNING CLARK CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLI BENE' CLARK (PRESIDENT & COO)
(706) 629-3282
Entity
Organization
Contact information
Practice address
1773 TRIMBLE HOLLOW RD SE, ADAIRSVILLE, GA 30103-4041
(706) 629-3282
(706) 629-7892
Mailing address
1773 TRIMBLE HOLLOW RD SE, ADAIRSVILLE, GA 30103-4041
(706) 629-3282
(706) 629-7892
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
GA
320800000X
Mental Illness Community Based Residential Treatment Facility
—
GA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
GA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
GA
323P00000X
Psychiatric Residential Treatment Facility
—
GA
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
GA
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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