WESTCARE GEORGIA NPI 1194942649

NPI Information

WESTCARE GEORGIA is a residential treatment facility emotionally disturbed children in Atlanta, GA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. WESTCARE GEORGIA NPI is 1194942649. The provider is registered as an organization entity type.

The provider's business location address is:

827 PRYOR ST SW
ATLANTA, GA
ZIP 30315-016
Phone: (404) 761-7485
Fax: (404) 761-8427

The provider's authorized official is Robert Neri .
The authorized official title is Senior Vice President and has the following contact phone number (727) 490-6767.

The CLIA number assigned to this NPI record is 11D1087581 - comprehensive outpatient rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 12/6/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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