Organization · NPI-2
Dobson Road
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Savannah, GA
NPI number1801979588
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1801979588
- Entity type
- Organization (NPI-2)
- Legal business name
- Dobson Road
- Organization subpart
- No
- Enumeration date
- Oct 24, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | GA | Yes |
Practice location
204 Dobson RdSavannah, GA 31410-2327
Phone 912-898-3276 · Fax 912-898-3277
Mailing address
204 Dobson RdSavannah, GA 31410-2327
Phone 912-898-3276 · Fax 912-898-3277
Authorized official
Charles Li
Rha
9123562011
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