Whalio Doctors

NPI 1154486496

Briarlake Community Home

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

Practice location

Address
1714 Briarlake Cir, Decatur, GA 30033-1110
Phone
(404) 633-5251
Fax
(404) 728-1518

Authorised official

Name
Tashua Grizzle
Title
Administrator
Phone
(404) 212-4676

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence 044232 (GA)

Registry record

NPI
1154486496
Entity type
Organization
NPI issued
27 Dec 2006
Record last updated
18 Aug 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.