Child, Youth, Adolescents, and Families

NPI #1861861361 in Morrow, Georgia

Provider Information

NPI Number
1861861361
Entity Type
Organization
Organization Name
Child, Youth, Adolescents, and Families
Subpart
Yes (part of a larger organization)
Parent Organization
BEHAVIORAL HEALTH DERVICES
Primary Specialty
Intermediate Care Facility, Mental Illness
Enumeration Date
Sep 15, 2015
Last Updated
Sep 15, 2015

Practice Location

Address
1396 SOUTHLAKE PLAZA DR
City
Morrow
State
Georgia
ZIP Code
30260-1756
Phone
(770) 473-2640

Authorized Official

Name
MS. ELANTA THOMAS, REGISTERED NURSE
Title
REGISTERED NURSE
Phone
(770) 478-2640

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Mental Illness

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