OrganizationActive
Mister Life Coach
NPI 1619403219 · Emotionally Disturbed Childrens' Residential Treatment Facility · Decatur, GA
Provider details
- NPI number
- 1619403219
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Robert Green, Life Coach(631) 553-7131
Specialties & taxonomies
Residential Treatment Facilities
Practice location
3681 N Decatur Rd Apt R11
Decatur, GA 30032-1062
Phone: (631) 553-7131
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 283
Rex, GA 30273-0283
Registry dates
- Enumerated
- 2017-05-03
- Last updated
- 2017-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.