Dillard Foundation

LBN: Dillard Academy
Dillard Foundation is an health care organization with primary practice located at 8014 Cumming Hwy Suite 403302, Canton GA 30115-9339. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Local Education Agency (LEA), Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Local Education Agency (LEA) is the primary health care specialty. Dillard Academy can be contacted via phone (404) 806-0434, or through Baker, Jeff via phone (404) 806-0434.

Contact Information

Primary practice address
8014 Cumming Hwy Suite 403302 Canton GA 30115-9339
Phone: (404) 806-0434
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Baker, Jeff SC.D
Phone: (404) 806-0434

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Agencies / Local Education Agency (LEA) 251300000X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1124459912
LBN Legal business name Dillard Academy
DBA Doing business as Dillard Foundation
Authorized official Baker, Jeff SC.D
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2013
Last updated Dec 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124459912 NPPES
North Carolina MEDICAID 8600110

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