| NPI | 1932405677 |
|---|---|
| Former Legal Business Name | MCLECC |
| Entity Type | Organization |
| Authorized Contact | CLEBERT MERAT Chief Executive Officer 678-508-1068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251T00000X PACE Provider Organization | |
| 251V00000X Voluntary or Charitable | |
| 251V00000X Voluntary or Charitable | |
| 305R00000X Preferred Provider Organization | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2018-06-20 |