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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES

Active Organization

ICF/Individuals with Intellectual Disabilities · GRACEWOOD, GA

Registration Details

NPI Number
1699000703
Provider Type
Organization
NPI Issued
Oct 7, 2009 (16.5396184377 yrs)
Last Updated
May 20, 2015
License
2-121-792 (GA)

Practice Information

Address
100 MYRTLE BLVD
GRACEWOOD, GA, 308121500
Browse GA providers · Browse ZIP 30812
Phone
7067902030
Fax
7067902025

Other ICF/Individuals with Intellectual Disabilities Organizations in GRACEWOOD, GA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.