NPI 1053547067

Department of Behavioral Health and Developmental Disabilities

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

Practice location

Address: 4916 Lapaloma Dr, Columbus, GA 31907-2741
Phone: (706) 568-5118

Authorised official

Name: Rick Garcia
Title: Program Director
Phone: (706) 568-5118

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1053547067
Entity type: Organization
NPI issued: 4 Jun 2009
Record last updated: 21 Jun 2018

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.