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Our Spot — NPI 1912343302, Statesboro, GA | NPI Central

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NPI 1912343302

OrganizationActive

Our Spot

NPI 1912343302 · Emotionally Disturbed Childrens' Residential Treatment Facility · Statesboro, GA

Provider details

NPI number: 1912343302
Entity type: Organization
Primary specialty: Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
Organization subpart: No
Authorized official: Roosevelt Cone, Owner/Director(912) 541-2809
License: 13BL0437 (GA)

Specialties & taxonomies

Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense 13BL0437 (GA)
Residential Treatment Facilities

Practice location

1015 E Inman St

Statesboro, GA 30458-2049

Phone: (912) 541-2809

Approximate (ZIP-level) locationGet directions

More GA providers

Mailing address

1015 E Inman St

Statesboro, GA 30458-2049

Other names (DBA / former)

Doing business as: The Spot

Registry dates

Enumerated: 2013-05-13
Last updated: 2015-01-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.