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Tracy Marshall
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Woodstock, Georgia
NPI 1942665567

Tracy Marshall is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Woodstock, GA. Tracy Marshall practices in Woodstock, GA. The NPI Number for Tracy Marshall is 1942665567 and holds a License No. 320900000X (Georgia).

The current practice location address for Tracy Marshall is 255 Grimes Rd, Woodstock, GA and can be reached out via phone at 678-366-6050 and via fax at 678-366-6051.

Location: 255 Grimes Rd, Woodstock, GA, 30188-6725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942665567
Provider Name
Tracy Marshall
Credential
Provider Entity Type
Individual
Gender
Female
Address
255 Grimes Rd, Woodstock, GA, 30188-6725
Phone Number
678-366-6050
Fax Number
678-366-6051
Provider Enumeration Date
12/25/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
255 Grimes Rd
City
Woodstock
State
Georgia
Zip
30188-6725
Phone Number
678-366-6050
Fax Number
678-366-6051
person
Provider Business Mailing Address Details
Address
255 Grimes Rd
City
Woodstock
State
Georgia
Zip
30188-6725
Phone Number
678-366-6050
Fax Number
678-366-6051
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.
320900000X (Georgia)
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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