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Big Mama House
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Stone Mountain, Georgia
NPI 1659752491

Big Mama House is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Stone Mountain, GA. Big Mama House practices in Stone Mountain, GA. The NPI Number for Big Mama House is 1659752491 and holds a License No. (Georgia).

The current practice location address for Big Mama House is 707 Pennybrook Ln, Stone Mountain, GA and can be reached out via phone at 404-538-6074.

Location: 707 Pennybrook Ln, Stone Mountain, GA, 30087-5918
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659752491
Provider Name
Big Mama House
Credential
Provider Entity Type
Organization
Address
707 Pennybrook Ln, Stone Mountain, GA, 30087-5918
Phone Number
404-538-6074
Fax Number
Provider Enumeration Date
06/17/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
707 Pennybrook Ln
City
Stone Mountain
State
Georgia
Zip
30087-5918
Phone Number
404-538-6074
Fax Number
person
Provider Business Mailing Address Details
Address
707 Pennybrook Ln
City
Stone Mountain
State
Georgia
Zip
30087-5918
Phone Number
404-538-6074
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
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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