Integra Group Homes, LLC

NPI #1679888713 in Ellenwood, Georgia

Provider Information

NPI Number
1679888713
Entity Type
Organization
Organization Name
Integra Group Homes, LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Aug 13, 2010
Last Updated
Aug 13, 2010

Practice Location

Address
5566 PLATTE DR
State
Georgia
ZIP Code
30294-6656
Phone
(770) 603-5694

Authorized Official

Name
STEVEN A ELLISOR
Title
OWNER
Phone
(803) 348-1203

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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