OrganizationActive
Cobb Community Services Board
NPI 1801133459 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Marietta, GA
Provider details
- NPI number
- 1801133459
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tod Citron, Ceo(770) 429-5000
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
218 South Ave Se
Marietta, GA 30060-2384
Phone: (770) 429-5020
Fax: (678) 213-1450
Approximate (ZIP-level) locationGet directions
Mailing address
3830 S Cobb Dr Se
Smyrna, GA 30080-5532
Other names (DBA / former)
- Other name
- Annette Carter Home
Registry dates
- Enumerated
- 2013-01-15
- Last updated
- 2013-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.