Twin Cedars Youth Services, Inc

NPI 1215064332 - Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X

NPI Details
NPI 1215064332
Enumeration Date 02/27/2007
Last Updated 03/31/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL J. MICHAEL
Position EXECUTIVE DIRECTOR
Phone (706) 884-1717
Fax (706) 884-8321
Practice Location
1022 E DEPOT ST
LAGRANGE GA, 30241-3412, US
Phone (706) 884-1717
Fax (706) 884-8321
Business Location
310 N LEWIS ST
P.O. BOX 1526
LAGRANGE GA, 30240-2740, US
Phone (706) 298-0050
Fax (706) 298-0055
Toxanomy
Taxonomy Code 322D00000X
License State
License Number
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According to our database, Twin Cedars Youth Services, Inc NPI is 1215064332, taxonomy code is 322D00000X Twin Cedars Youth Services, Inc physically located at 1022 E Depot St, Lagrange GA, 30241-3412. NPI Number 1033115704 has the healthcare provider type.

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1215064332 NPI number is provided on an as is basis without warranty of any kind. 1215064332 is maintained by the National Plan & Provider Enumeration System. The contents of Twin Cedars Youth Services, Inc are for informational purposes only.