NPI 1265762165
Aspirations 2b
Practice location
- Address
- 8268 Creekridge Cir, Riverdale, GA 30296-1243
- Phone
- (678) 361-0644
- Fax
- (770) 460-0459
Authorised official
- Name
- Renee Bordain
- Title
- Ceo/Director
- Phone
- (678) 361-0644
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1265762165
- Entity type
- Organization
- NPI issued
- 28 Dec 2009
- Record last updated
- 19 Nov 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.