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KIDSPEACE NATIONAL CENTERS OF GEORGIA, INC

Assisted Living, Mental Illness

Bowdon, Georgia

Provider NPI: 1275718389

Organization Information:
Organization Name:  KIDSPEACE NATIONAL CENTERS OF GEORGIA, INC


Practice Location:
101 KIDSPEACE DR  BOWDON, GA 30108 US
Tel: 770-437-7200  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251S00000XAgencies
Community/Behavioral Health
GA022-672-D

Other Provider Identifiers:

IssuerNumberStateType
848487220AGA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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