OrganizationActive
From the Heart Enterprises, Inc
NPI 1699138669 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Decatur, GA
Provider details
- NPI number
- 1699138669
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Barbara Randall, Ex. Directory(770) 912-5664
- License
- 00139008 (GA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 00139008 (GA)
Residential Treatment Facilities
Practice location
2188 Riverbrook Rd
Decatur, GA 30035-2924
Phone: (770) 912-5664
Approximate (ZIP-level) locationGet directions
Mailing address
2188 Riverbrook Rd
Decatur, GA 30035-2924
Registry dates
- Enumerated
- 2016-03-29
- Last updated
- 2016-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.