Organization
EXCEEDING YOUR EXPECTATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANNETTE WOODARD (DIRECTOR)
(678) 754-6800
Entity
Organization
Contact information
Practice address
2115 NICHOLS LN, DECATUR, GA 30032-5834
(678) 754-6800
Mailing address
2115 NICHOLS LN, DECATUR, GA 30032-5834
(678) 754-6800
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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