Sraintree Village

NPI #1730202219 in Valdosta, Georgia

Provider Information

NPI Number: 1730202219
Entity Type: Organization
Organization Name: Sraintree Village
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Apr 9, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 3757 JOHNSTON RD
City: Valdosta
State: Georgia
ZIP Code: 31601-2105
Phone: (229) 559-5944

Authorized Official

Name: MR. EDWARD E SANDERS, LMSW
Title: ASST. ADMIN.
Phone: (229) 559-5944

Specialties & Taxonomy Codes

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

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