location
search-icon
institution
Predestined For Greatness
Emotionally Disturbed Childrens' Residential Treatment Facility in Ellenwood, Georgia
NPI 1154537181

Predestined For Greatness is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Ellenwood, GA. Predestined For Greatness practices in Ellenwood, GA. The NPI Number for Predestined For Greatness is 1154537181 and holds a License No. CCI001578 (Georgia).

The current practice location address for Predestined For Greatness is 4865 Brookstone Pkwy, Ellenwood, GA and can be reached out via phone at 770-320-9278.

Location: 4865 Brookstone Pkwy, Ellenwood, GA, 30294-2126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154537181
Provider Name
Predestined For Greatness
Credential
Provider Entity Type
Organization
Address
4865 Brookstone Pkwy, Ellenwood, GA, 30294-2126
Phone Number
770-320-9278
Fax Number
Provider Enumeration Date
05/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4865 Brookstone Pkwy
City
Ellenwood
State
Georgia
Zip
30294-2126
Phone Number
770-320-9278
Fax Number
person
Provider Business Mailing Address Details
Address
4865 Brookstone Pkwy
City
Ellenwood
State
Georgia
Zip
30294-2126
Phone Number
770-320-9278
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
CCI001578 (Georgia)
Definition
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.