Provider Demographics
NPI:1609428689
Name:ORCHARD HUMAN SERVICES, INC.
Entity Type:Organization
Organization Name:ORCHARD HUMAN SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PROGRAM DEVELOPMENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DARLEEN
Authorized Official - Middle Name:CLAIRE
Authorized Official - Last Name:WODZENSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:770-686-0894
Mailing Address - Street 1:231 BENTONVILLE LN
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30134-6301
Mailing Address - Country:US
Mailing Address - Phone:770-686-0894
Mailing Address - Fax:770-660-8884
Practice Address - Street 1:2725 CHARLESTOWN DR
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30337-3909
Practice Address - Country:US
Practice Address - Phone:770-686-0894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-10
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental DisabilitiesGroup - Multi-Specialty