Organization · NPI-2

Collective Learning Academy, INC.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Atlanta, GA

NPI number1265154389
StatusActive
Last updated in NPPESSep 15, 2022

Details

NPI
1265154389
Entity type
Organization (NPI-2)
Legal business name
Collective Learning Academy, INC.
Organization subpart
No
Enumeration date
Sep 15, 2022
Certification date
Sep 15, 2022
Last updated
Sep 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes

Practice location

2715 Peachtree Rd Ne
Atlanta, GA 30305-2907

Phone 404-721-0079

Mailing address

2715 Peachtree Rd Ne
Atlanta, GA 30305-2907

Phone 404-721-0079

Authorized official

Laura Deisley
Ceo
4047210079

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