KELLY TOWN FAMILY GROUP – NPI #1114237567
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

KELLY TOWN FAMILY GROUP is a community based residential treatment facility located in MCDONOUGH, GA. NPPES has assigned the NPI number 1114237567 to KELLY TOWN FAMILY GROUP on October 19, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. KELLY TOWN FAMILY GROUP is also known by the name HEALTH CARE CONNECT GROUP. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KELLY TOWN FAMILY GROUP below.

NPI Profile for
KELLY TOWN FAMILY GROUP

NPI Number
1114237567
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KELLY TOWN FAMILY GROUP
Other Name: HEALTH CARE CONNECT GROUP
Primary location
618 MEDWAY DRIVE
MCDONOUGH, GA 30253
Phone: (678) 353-4677 Fax:
Mailing address
618 MEDWAY DR
MCDONOUGH, GA 30252-4155
Phone: Fax:
Organization Subpart
No
Authorized Official
TERRIE PETERS
OWNER
Phone: (678) 353-4677
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)		 AL 20100006464

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.