Sumter Youth Develpment Campus

NPI #1700214574 in Americus, Georgia

Provider Information

NPI Number: 1700214574
Entity Type: Organization
Organization Name: Sumter Youth Develpment Campus
Subpart: Yes (part of a larger organization)
Parent Organization: GEORGIA DEPARTMENT OF JUVENILE JUSTICE
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Oct 14, 2013
Last Updated: Oct 14, 2013

Practice Location

Address: 300 MCMATH MILL RD
City: Americus
State: Georgia
ZIP Code: 31719-8669
Phone: (229) 931-5800

Authorized Official

Name: MRS. MICHELLE STAPLES HORNE, M.D.
Title: DIRECTOR HEALTH SERVICES
Phone: (404) 508-6681

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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