HATTIE CLAY OLIVER PCH

NPI # 

Practice Address:

418 Vinings Vintage Cir

Mableton, GA, 30126-7208

Practice Phone:

770-575-0582

Practice Fax:

404-756-4894

License Number:

PCH005570

License State:

GA

Taxonomy Grouping:

Residential Treatment Facilities

Taxonomy Classification:

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code:

320900000X