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Leslie Inez Taylor, PCT
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lawrenceville, Georgia
NPI 1114298163

Leslie Inez Taylor is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Lithonia, GA. Leslie Inez Taylor practices in Lawrenceville, GA and has the professional credentials of PCT. The NPI Number for Leslie Inez Taylor is 1114298163 and holds a License No. (Georgia).

The current practice location address for Leslie Inez Taylor is 175 Gwinnett Dr, Lawrenceville, GA and can be reached out via phone at 770-339-2359.

Location: 175 Gwinnett Dr, Lawrenceville, GA, 30038-1130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114298163
Provider Name
Leslie Inez Taylor
Credential
PCT
Provider Entity Type
Individual
Gender
Female
Address
175 Gwinnett Dr, Lawrenceville, GA, 30038-1130
Phone Number
770-339-2359
Fax Number
Provider Enumeration Date
01/23/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
175 Gwinnett Dr
City
Lawrenceville
State
Georgia
Zip
30046-8444
Phone Number
770-339-2359
Fax Number
person
Provider Business Mailing Address Details
Address
175 Gwinnett Dr
City
Lawrenceville
State
Georgia
Zip
30046-8444
Phone Number
770-339-2359
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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