NPI 1700924750
Ga Department of Juvenile Justice
Practice location
- Address
- 3408 Covington Hwy, Decatur, GA 30032-1513
- Phone
- (404) 508-6610
- Fax
- (404) 508-5091
Authorised official
- Name
- Sandra Deaton
- Title
- Federal Programs Director
- Phone
- (404) 508-6610
Registered specialties (2)
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Social Worker
Registry record
- NPI
- 1700924750
- Entity type
- Organization
- NPI issued
- 2 Feb 2007
- Record last updated
- 11 Sep 2025
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.