Organization
A PLACE TO CALL HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY SEABROOKS (OWNER)
(770) 981-7718
Entity
Organization
Contact information
Practice address
6014 IDLEWOOD TRCE, LITHONIA, GA 30038-6267
(770) 981-7718
Mailing address
6014 IDLEWOOD TRCE, LITHONIA, GA 30038-6267
(770) 981-7718
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
GA
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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