Provider Demographics
NPI:1780713776
Name:GEORGIA OPTIONS, INC.
Entity type:Organization
Organization Name:GEORGIA OPTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-546-0009
Mailing Address - Street 1:160 BEN BURTON RD
Mailing Address - Street 2:
Mailing Address - City:BOGART
Mailing Address - State:GA
Mailing Address - Zip Code:30622-1726
Mailing Address - Country:US
Mailing Address - Phone:706-546-0009
Mailing Address - Fax:706-546-0215
Practice Address - Street 1:160 BEN BURTON RD
Practice Address - Street 2:
Practice Address - City:BOGART
Practice Address - State:GA
Practice Address - Zip Code:30622-1726
Practice Address - Country:US
Practice Address - Phone:706-546-0009
Practice Address - Fax:706-546-0215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA029R0004251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000498407AMedicaid
GA000498407ABMedicaid
GA000498407IMedicaid