person
Jamita Martin
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Acworth, Georgia
NPI 1366807778

Jamita Martin is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Acworth, GA. Jamita Martin practices in Acworth, GA. The NPI Number for Jamita Martin is 1366807778 and holds a License No. LC20150000857 (Georgia).

The current practice location address for Jamita Martin is 6468 Hwy 92, Acworth, GA and can be reached out via phone at 770-634-9994 and via fax at 855-413-6890.

Location: 6468 Hwy 92, Acworth, GA, 30102-0005
person
Provider Profile Details
NPI Number
1366807778
Provider Name
Jamita Martin
Credential
Provider Entity Type
Individual
Gender
Female
Address
6468 Hwy 92, Acworth, GA, 30102-0005
Phone Number
770-634-9994
Fax Number
855-413-6890
Provider Enumeration Date
12/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6468 Hwy 92
City
State
Zip
30102-0005
Phone Number
770-634-9994
Fax Number
855-413-6890
person
Provider Business Mailing Address Details
Address
6468 Hwy 92
City
State
Zip
30102-0005
Phone Number
770-634-9994
Fax Number
855-413-6890
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
LC20150000857 (Georgia)
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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