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Integrated Life Center, Inc.
Mental Illness Community Based Residential Treatment Facility in Stone Mountain, Georgia
NPI 1427199199

Integrated Life Center, Inc. is a Mental Illness Community Based Residential Treatment Facility based in Stone Mountain, GA. Integrated Life Center, Inc. practices in Stone Mountain, GA. The NPI Number for Integrated Life Center, Inc. is 1427199199 and holds a License No. 025893 (Georgia).

The current practice location address for Integrated Life Center, Inc. is 4641 Stonegate Industrial Blvd, Stone Mountain, GA and can be reached out via phone at 404-377-5556 and via fax at 404-292-9903.

Location: 4641 Stonegate Industrial Blvd, Stone Mountain, GA, 30083-1908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427199199
Provider Name
Integrated Life Center, Inc.
Credential
Provider Entity Type
Organization
Address
4641 Stonegate Industrial Blvd, Stone Mountain, GA, 30083-1908
Phone Number
404-377-5556
Fax Number
404-292-9903
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00921324A 05 GA
institution
Provider Business Practice Location Address Details
Address
4641 Stonegate Industrial Blvd
City
Stone Mountain
State
Georgia
Zip
30083-1908
Phone Number
404-377-5556
Fax Number
404-292-9903
person
Provider Business Mailing Address Details
Address
4641 Stonegate Industrial Blvd
City
Stone Mountain
State
Georgia
Zip
30083-1908
Phone Number
404-377-5556
Fax Number
404-292-9903
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
025893 (Georgia)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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