Peace in Young Life Center, Inc.

NPI #1447447362 in Calhoun, Georgia

Provider Information

NPI Number: 1447447362
Entity Type: Organization
Organization Name: Peace in Young Life Center, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 25, 2007
Last Updated: Feb 16, 2012

Practice Location

Address: 717 E LINE ST
City: Calhoun
State: Georgia
ZIP Code: 30701-2271
Phone: (706) 629-2212

Authorized Official

Name: MARCHELLE MITZI GAINES
Title: CEO/OWNER
Phone: (706) 263-2533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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