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Mister Life Coach
Emotionally Disturbed Childrens' Residential Treatment Facility in Decatur, Georgia
NPI 1619403219

Mister Life Coach is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Rex, GA. Mister Life Coach practices in Decatur, GA. The NPI Number for Mister Life Coach is 1619403219 and holds a License No. (Georgia).

The current practice location address for Mister Life Coach is 3681 N Decatur Rd Apt R11, Decatur, GA and can be reached out via phone at 631-553-7131. You can also correspond with Mister Life Coach through the mailing address at PO BOX 283, REX, GA - 30273-0283 (mailing address contact number: ).

Location: 3681 N Decatur Rd Apt R11, Decatur, GA, 30273-0283
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619403219
Provider Name
Mister Life Coach
Credential
Provider Entity Type
Organization
Address
3681 N Decatur Rd Apt R11, Decatur, GA, 30273-0283
Phone Number
631-553-7131
Fax Number
Provider Enumeration Date
05/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3681 N Decatur Rd Apt R11
City
Decatur
State
Georgia
Zip
30032-1062
Phone Number
631-553-7131
Fax Number
person
Provider Business Mailing Address Details
Address
3681 N Decatur Rd Apt R11
City
Decatur
State
Georgia
Zip
30032-1062
Phone Number
631-553-7131
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
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.
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