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Bagley Youth Development
Community/Behavioral Health Agency in College Park, Georgia
NPI 1811034317

Bagley Youth Development is a Community/Behavioral Health Agency based in Newnan, GA. Bagley Youth Development practices in College Park, GA. The NPI Number for Bagley Youth Development is 1811034317 and holds a License No. LPC001132 (Georgia).

The current practice location address for Bagley Youth Development is 2245 Godby Rd, College Park, GA and can be reached out via phone at 404-968-4662 and via fax at 404-968-4562.

Location: 2245 Godby Rd, College Park, GA, 30265-2278
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811034317
Provider Name
Bagley Youth Development
Credential
Provider Entity Type
Organization
Address
2245 Godby Rd, College Park, GA, 30265-2278
Phone Number
404-968-4662
Fax Number
404-968-4562
Provider Enumeration Date
01/31/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
503205308A 05 GA
institution
Provider Business Practice Location Address Details
Address
2245 Godby Rd
City
College Park
State
Georgia
Zip
30349-5059
Phone Number
404-968-4662
Fax Number
404-968-4562
person
Provider Business Mailing Address Details
Address
2245 Godby Rd
City
College Park
State
Georgia
Zip
30349-5059
Phone Number
404-968-4662
Fax Number
404-968-4562
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
LPC001132 (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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