Provider Demographics
NPI:1356815278
Name:NORTH GEORGIA AUTISM FOUNDATION INC
Entity Type:Organization
Organization Name:NORTH GEORGIA AUTISM FOUNDATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:HOKE
Authorized Official - Last Name:RITCHIE
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:706-455-1986
Mailing Address - Street 1:11 OVERVIEW DR STE 203
Mailing Address - Street 2:
Mailing Address - City:BLUE RIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30513-6687
Mailing Address - Country:US
Mailing Address - Phone:706-455-5183
Mailing Address - Fax:
Practice Address - Street 1:11 OVERVIEW DR STE 203
Practice Address - Street 2:
Practice Address - City:BLUE RIDGE
Practice Address - State:GA
Practice Address - Zip Code:30513-6687
Practice Address - Country:US
Practice Address - Phone:706-455-5183
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency