| NPI | 1285870691 |
|---|---|
| Other Name | CAMP WANNA BE, IN |
| Entity Type | Organization |
| Authorized Contact | CLINTON BLOUNT President 912-537-7758 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA 138-01-010-9) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: GA 138-01-010-9) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |