Provider Demographics
NPI:1447372339
Name:CARROLL COUNTY TRAINING CENTER
Entity type:Organization
Organization Name:CARROLL COUNTY TRAINING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTANT PARAPROFESSIONAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:RICKIE
Authorized Official - Middle Name:JODIE
Authorized Official - Last Name:WREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-836-6651
Mailing Address - Street 1:200 ALTON ESTES DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30117-5102
Mailing Address - Country:US
Mailing Address - Phone:770-836-6651
Mailing Address - Fax:770-836-6752
Practice Address - Street 1:200 ALTON ESTES DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30117-5102
Practice Address - Country:US
Practice Address - Phone:770-836-6651
Practice Address - Fax:770-836-6752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services