Whalio Doctors

NPI 1386921336

Chestnut Manor, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Lithia Springs, GA

Practice location

Address
8673 Chestnut Ln, Lithia Springs, GA 30122-3410
Phone
(770) 920-9369

Authorised official

Name
Shirley Napier-Brady
Title
Executive Director
Phone
(770) 920-9369

Registered specialties (3)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence 12040 (GA)
Non-emergency Medical Transport (VAN)
Transportation Services Taxonomy 343900000X Licence 12040 (GA)
Child Intellectual and/or Developmental Disabilities Respite Care
Respite Care Facility Taxonomy 385HR2060X Licence 12040 (GA)

Registry record

NPI
1386921336
Entity type
Organization
NPI issued
4 Nov 2011
Record last updated
4 Nov 2011

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.