Annette Carter Home
LBN: Cobb Community Services Board
Annette Carter Home is an health care organization with primary practice located at 218 South Ave Se , Marietta GA 30060-2384. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Cobb Community Services Board can be contacted via phone (770) 429-5020, or through Citron, Tod via phone (770) 429-5000.
Contact Information
Primary practice address
218 South Ave Se
Marietta GA 30060-2384
Phone: (770) 429-5020
Fax: (678) 213-1450
Website:
Authorized official contact:
Name: Citron, Tod Licensed Clinical Social Worker (LCSW)
Phone: (770) 429-5000
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X |
Profile Details
| NPI number | 1801133459 |
|---|---|
| LBN Legal business name | Cobb Community Services Board |
| DBA Doing business as | Annette Carter Home |
| Authorized official | Citron, Tod Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 15th, 2013 |
| Last updated | Jan 15th, 2013 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801133459 | NPPES |
| Georgia | MEDICAID | 000599783Q |
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