Whalio Doctors

NPI 1265762165

Aspirations 2b

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

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
Residential Treatment Facilities Taxonomy 320900000X

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.