OrganizationActive
Consumers Care Corporation
NPI 1376792127 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Ellenwood, GA
Provider details
- NPI number
- 1376792127
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Carolyn Mattis, Ceo(404) 243-5484
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
4390 Thurgood Estates Dr
Ellenwood, GA 30294-3283
Phone: (404) 243-5484
Fax: (404) 243-5733
Approximate (ZIP-level) locationGet directions
Mailing address
4390 Thurgood Estates Dr
Ellenwood, GA 30294-3283
Registry dates
- Enumerated
- 2008-09-17
- Last updated
- 2008-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.