PREDESTINED FOR GREATNESS NPI 1154537181

NPI Information

PREDESTINED FOR GREATNESS is a residential treatment facility emotionally disturbed children in Ellenwood, 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. PREDESTINED FOR GREATNESS NPI is 1154537181. The provider is registered as an organization entity type.

The provider's business location address is:

4865 BROOKSTONE PKWY
ELLENWOOD, GA
ZIP 30294-126
Phone: (770) 320-9278

The provider's authorized official is Dion Thomas .
The authorized official title is Ceo and has the following contact phone number (770) 320-9278.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 8/22/2020.

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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