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Providence Care Inc
Community/Behavioral Health Agency in Fairburn, Georgia
NPI 1376805630

Providence Care Inc is a Community/Behavioral Health Agency based in Fairburn, GA. Providence Care Inc practices in Fairburn, GA. The NPI Number for Providence Care Inc is 1376805630 and holds a License No. 060-R-1019 (Georgia).

The current practice location address for Providence Care Inc is 216 Nw Broad St Ste B, Fairburn, GA and can be reached out via phone at 678-489-2069 and via fax at 678-489-8627.

Location: 216 Nw Broad St Ste B, Fairburn, GA, 30213-4106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376805630
Provider Name
Providence Care Inc
Credential
Provider Entity Type
Organization
Address
216 Nw Broad St Ste B, Fairburn, GA, 30213-4106
Phone Number
678-489-2069
Fax Number
678-489-8627
Provider Enumeration Date
06/13/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
216 Nw Broad St Ste B
City
Fairburn
State
Georgia
Zip
30213-4106
Phone Number
678-489-2069
Fax Number
678-489-8627
person
Provider Business Mailing Address Details
Address
216 Nw Broad St Ste B
City
Fairburn
State
Georgia
Zip
30213-4106
Phone Number
678-489-2069
Fax Number
678-489-8627
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
060-R-1019 (Georgia)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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