OrganizationActive
At Home Aba, LLC
NPI 1295618346 · Adolescent and Children Mental Health Clinic/Center · Glennville, GA
Provider details
- NPI number
- 1295618346
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- William Stanfield, Owner
Mailing address
714 Merganser Cir
Glennville, GA 30427-2328
Registry dates
- Enumerated
- 2025-07-28
- Last updated
- 2025-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.