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Mental Illness Community Based Residential Treatment Facility · MABLETON, GA

Organization Active NPI 1467741710

Taxonomy & licensure

Specialty	Code	Primary	License	State
Mental Illness Community Based Residential Treatment Facility	320800000X	✓	033013339	GA
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	320900000X		033013339	GA

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.