NPI 1205158813

Avita Community Partners

Organisation Mental Illness Community Based Residential Treatment Facility Toccoa, GA

Practice location

Address: 1763 Fernside Dr, Toccoa, GA 30577-8095
Phone: (706) 282-4542
Mailing address: 4331 Thurmon Tanner Rd, Flowery Branch, GA 30542-2829

Authorised official

Name: Karen Tucker
Title: Billing Manager
Phone: (678) 513-5700

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence MSW004930 (GA)

Other Community Based Residential Treatment Facility, Mental Illness providers in Georgia →

Registry record

NPI: 1205158813
Entity type: Organization
NPI issued: 23 Feb 2010
Record last updated: 23 Feb 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.