Provider Demographics
NPI:1114087814
Name:GEORGIA ASSOCIATION FOR RETARDED CITIZENS INC NEWNAN COWETA ASSN
Entity Type:Organization
Organization Name:GEORGIA ASSOCIATION FOR RETARDED CITIZENS INC NEWNAN COWETA ASSN
Other - Org Name:THE RUTLEDGE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSOCIATE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-251-6515
Mailing Address - Street 1:61 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-1209
Mailing Address - Country:US
Mailing Address - Phone:770-253-1189
Mailing Address - Fax:770-304-9652
Practice Address - Street 1:55 MILLARD FARMER INDUSTRIAL BOULEVARD
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263
Practice Address - Country:US
Practice Address - Phone:770-251-6515
Practice Address - Fax:770-251-9995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services