Whalio Doctors

NPI 1023339918

Monix Care

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Ellenwood, GA

Practice location

Address
1901 Boulder Gate Dr, Ellenwood, GA 30294-1680
Phone
(770) 771-1559

Authorised official

Name
Kevin Monix
Title
Ceo
Phone
(770) 771-1559

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence 044017532 (GA)

Registry record

NPI
1023339918
Entity type
Organization
NPI issued
15 Jun 2010
Record last updated
15 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.