1104194307 HATTIE CLAY OLIVER PCH

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Active

Basic Information

Organization Name
HATTIE CLAY OLIVER PCH
Enumeration Date
December 2, 2011
Last Update
December 6, 2011
Authorized Official
MR. JAMES C FORD
CEO
Phone: (770) 575-0582

Practice Location

Address
418 VININGS VINTAGE CIR
MABLETON, GA 301267208
Phone
(770) 575-0582
Fax
(404) 756-4894

Mailing Address

Address
1180 MADISON GREEN LN SW
MABLETON, GA 301262154
Phone
(770) 575-0582
Fax
(404) 756-4894

Specialties & Taxonomies

Specialty Code Classification License State Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities PCH005570 GA No
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities PCH005570 GA Primary

Frequently Asked Questions

What is HATTIE CLAY OLIVER PCH's NPI number?
HATTIE CLAY OLIVER PCH's NPI number is 1104194307.
Which doctor has NPI number 1104194307?
The doctor with NPI number 1104194307 is HATTIE CLAY OLIVER PCH.
What is HATTIE CLAY OLIVER PCH's practice address?
HATTIE CLAY OLIVER PCH's practice address is 418 VININGS VINTAGE CIR, MABLETON, GA, 301267208.
Which doctor practices at 418 VININGS VINTAGE CIR, MABLETON, GA, 301267208?
HATTIE CLAY OLIVER PCH practices at 418 VININGS VINTAGE CIR, MABLETON, GA, 301267208.
What is HATTIE CLAY OLIVER PCH's mailing address?
HATTIE CLAY OLIVER PCH's mailing address is 1180 MADISON GREEN LN SW, MABLETON, GA, 301262154.
What is HATTIE CLAY OLIVER PCH's phone number?
HATTIE CLAY OLIVER PCH's phone number is (770) 575-0582.
Who is (770) 575-0582?
(770) 575-0582 is the phone number for HATTIE CLAY OLIVER PCH.
What is HATTIE CLAY OLIVER PCH's specialty?
HATTIE CLAY OLIVER PCH's specialty is Intellectual and/or Developmental Disabilities Residential Treatment Facility.
What type of doctor is HATTIE CLAY OLIVER PCH?
HATTIE CLAY OLIVER PCH is a Intellectual and/or Developmental Disabilities Residential Treatment Facility.
Is HATTIE CLAY OLIVER PCH a Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, HATTIE CLAY OLIVER PCH is a Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is HATTIE CLAY OLIVER PCH still practicing?
Yes, HATTIE CLAY OLIVER PCH is currently practicing.
Is HATTIE CLAY OLIVER PCH accepting new patients?
HATTIE CLAY OLIVER PCH may be accepting new patients. Please call their office at (770) 575-0582 to inquire about availability.
Is NPI 1104194307 still active?
Yes, NPI 1104194307 is currently active.
Where does HATTIE CLAY OLIVER PCH practice?
HATTIE CLAY OLIVER PCH practices in MABLETON, GA.