NPI 1801133459

Cobb Community Services Board

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Marietta, GA

Practice location

Address: 218 South Ave SE, Marietta, GA 30060-2384
Phone: (770) 429-5020
Fax: (678) 213-1450
Mailing address: 3830 S Cobb Dr SE Suite 300, Smyrna, GA 30080-5532

Authorised official

Name: Tod Citron
Title: Ceo
Phone: (770) 429-5000

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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

Registry record

NPI: 1801133459
Entity type: Organization
NPI issued: 15 Jan 2013
Record last updated: 15 Jan 2013

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.