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NPI 1992024178 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Lithonia, GA
Provider details
- NPI number
- 1992024178
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Tracy Seabrooks, Owner
Mailing address
6014 Idlewood Trce
Lithonia, GA 30038-6267
Registry dates
- Enumerated
- 2010-05-27
- Last updated
- 2010-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.