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Reach For The Moon Inc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Winder, Georgia
NPI 1952618308

Reach For The Moon Inc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Winder, GA. Reach For The Moon Inc practices in Winder, GA. The NPI Number for Reach For The Moon Inc is 1952618308 and holds a License No. 129815246A (Georgia).

The current practice location address for Reach For The Moon Inc is 714 Baskins Cir, Winder, GA and can be reached out via phone at 678-425-9602.

Location: 714 Baskins Cir, Winder, GA, 30680-3584
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952618308
Provider Name
Reach For The Moon Inc
Credential
Provider Entity Type
Organization
Address
714 Baskins Cir, Winder, GA, 30680-3584
Phone Number
678-425-9602
Fax Number
Provider Enumeration Date
09/07/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
129815246A 05 GA
institution
Provider Business Practice Location Address Details
Address
714 Baskins Cir
City
Winder
State
Georgia
Zip
30680-3584
Phone Number
678-425-9602
Fax Number
person
Provider Business Mailing Address Details
Address
714 Baskins Cir
City
Winder
State
Georgia
Zip
30680-3584
Phone Number
678-425-9602
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
129815246A (Georgia)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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