NPI 1073699617

Avalonia Group Homes, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Marietta, SC

Practice location

Address: 213 Hart Cut Rd, Marietta, SC 29661-9687
Phone: (864) 836-7220
Fax: (864) 294-1774
Mailing address: PO Box 699, Marietta, SC 29661-0699

Authorised official

Name: John M. Short
Title: Chief Executive Officer
Phone: (864) 836-7220

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence SR-0008124001-CC1 (SC)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in South Carolina →

Registry record

NPI: 1073699617
Entity type: Organization
NPI issued: 27 Oct 2006
Record last updated: 12 Jan 2009

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.