NPI 1124459912

Dillard Academy

Organisation Local Education Agency (LEA) Canton, GA

Practice location

Address: 8014 Cumming Hwy Suite 403302, Canton, GA 30115-9339
Phone: (404) 806-0434
Mailing address: 1602 Stephens St, Goldsboro, NC 27530-6720

Authorised official

Name: Jeff Baker
Title: Consultant
Phone: (404) 806-0434

Registered specialties (4)

Local Education Agency (LEA) Primary

Agencies Taxonomy 251300000X

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Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Registry record

NPI: 1124459912
Entity type: Organization
NPI issued: 5 Dec 2013
Record last updated: 5 Dec 2013

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.