OrganizationActive
Aiden'S Place, LLC
NPI 1316221815 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Atlanta, GA
Provider details
- NPI number
- 1316221815
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Rondine Gordon, Ceo(770) 573-1076
- License
- PCH008079 (GA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense PCH008079 (GA)
Residential Treatment Facilities
Residential Treatment Facilities
Practice location
7370 Wright Dr
Atlanta, GA 30349-7911
Phone: (770) 573-1076
Fax: (770) 234-5894
Approximate (ZIP-level) locationGet directions
Mailing address
1227 Rockbridge Rd
Stone Mountain, GA 30087-3064
Registry dates
- Enumerated
- 2011-10-03
- Last updated
- 2011-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.