NPI 1730202219

Sraintree Village

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Valdosta, GA

Practice location

Address: 3757 Johnston Rd, Valdosta, GA 31601-2105
Phone: (229) 559-5944

Authorised official

Name: Edward E Sanders
Title: Asst. Admin.
Phone: (229) 559-5944

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence CPA-40075 (GA)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Georgia →

Registry record

NPI: 1730202219
Entity type: Organization
NPI issued: 9 Apr 2007
Record last updated: 22 Aug 2020

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.