NPI 1598055691

Samo Holdings, INC

Organisation Mental Illness Community Based Residential Treatment Facility Ellenwood, GA

Practice location

Address: 5530 Swanson Rd, Ellenwood, GA 30294-3857
Phone: (404) 729-2514
Fax: (678) 264-5461
Mailing address: 2467 Chauncey Ln SW, Marietta, GA 30064-4536

Authorised official

Name: Moses Demba
Title: Ceo
Phone: (404) 729-2514

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 031013109 (GA)

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

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X Licence 031013109 (GA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Georgia →

Registry record

NPI: 1598055691
Entity type: Organization
NPI issued: 11 Apr 2011
Record last updated: 11 Apr 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.