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Cobb Community Services Board
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Marietta, Georgia
NPI 1801133459

Cobb Community Services Board is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Smyrna, GA. Cobb Community Services Board practices in Marietta, GA. The NPI Number for Cobb Community Services Board is 1801133459 and holds a License No. (Georgia).

The current practice location address for Cobb Community Services Board is 218 South Ave Se, Marietta, GA and can be reached out via phone at 770-429-5020 and via fax at 678-213-1450.

Location: 218 South Ave Se, Marietta, GA, 30080-5532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801133459
Provider Name
Cobb Community Services Board
Credential
Provider Entity Type
Organization
Address
218 South Ave Se, Marietta, GA, 30080-5532
Phone Number
770-429-5020
Fax Number
678-213-1450
Provider Enumeration Date
01/15/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000599783Q 05 GA
institution
Provider Business Practice Location Address Details
Address
218 South Ave Se
City
Marietta
State
Georgia
Zip
30060-2384
Phone Number
770-429-5020
Fax Number
678-213-1450
person
Provider Business Mailing Address Details
Address
218 South Ave Se
City
Marietta
State
Georgia
Zip
30060-2384
Phone Number
770-429-5020
Fax Number
678-213-1450
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
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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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