Organization Name: | DOWNING CLARK CENTER, INC. |
NPI Number: | 1740472653 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLI BENE' CLARK (PRESIDENT & COO) |
Mailing Address: | 1773 Trimble Hollow Rd Se Adairsville |
State: | GA US |
Postal Code: | 301034041 |
Phone Number: | 7066293282 |
Fax Number: | 7066297892 |
NPI Enumeration Date: | 08/14/2007 |
NPI Last Update Date: | 08/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320600000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |