IndividualActive
Elizabeth Smith
NPI 1821492034 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Monroe, GA
Provider details
- NPI number
- 1821492034
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
1227 Dale Dr
Monroe, GA 30656-3500
Phone: (706) 389-6790
Fax: (706) 389-6760
Approximate (ZIP-level) locationGet directions
Mailing address
250 North Ave
Athens, GA 30601-2244
Registry dates
- Enumerated
- 2014-10-17
- Last updated
- 2014-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.