Organization
PEACH COUNTY ASSOCIATION FOR THE M.R. INC
Active
Other names
Kay Community Service Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL TODD YOUNGBLOOD (EXECUTIVE DIRECTOR)
(478) 825-3124
Entity
Organization
Contact information
Practice address
213 ALLEN ST, FORT VALLEY, GA 31030-2714
(478) 825-3124
(478) 825-8054
Mailing address
213 ALLEN ST, FORT VALLEY, GA 31030-2714
(478) 825-3124
(478) 825-8054
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/01/2007
Last updated
08/22/2020
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