NPI 1427199199
Integrated Life Center, INC.
Practice location
- Address
- 4641 Stonegate Industrial Blvd, Stone Mountain, GA 30083-1908
- Phone
- (404) 377-5556
- Fax
- (404) 292-9903
Authorised official
- Name
- Dennis Arthur O'Brien
- Title
- Ceo
- Phone
- (404) 377-5556
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1427199199
- Entity type
- Organization
- NPI issued
- 8 Feb 2007
- Record last updated
- 21 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.