Provider Demographics
NPI:1134310394
Name:SIERRA'S CENTER, LTD.
Entity Type:Organization
Organization Name:SIERRA'S CENTER, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:EDINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-795-0190
Mailing Address - Street 1:1635 JAMES ADAMS RD
Mailing Address - Street 2:
Mailing Address - City:DANIELSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30633-2530
Mailing Address - Country:US
Mailing Address - Phone:706-795-0190
Mailing Address - Fax:706-795-0190
Practice Address - Street 1:1635 JAMES ADAMS RD
Practice Address - Street 2:
Practice Address - City:DANIELSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30633-2530
Practice Address - Country:US
Practice Address - Phone:706-795-0190
Practice Address - Fax:706-795-0190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health