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INTEGRATED LIFE CENTER, INC.
NPI 1427199199
Community Based Residential Treatment Facility, Mental Illness in Stone Mountain, GA

Active since February 08, 2007
4641 STONEGATE INDUSTRIAL BLVD, STONE MOUNTAIN, GA 30083(404) 377-5556(404) 292-9903 Get Directions Write a Review

NPPES record last updated: November 21, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Integrated Life Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATED LIFE CENTER, INC. (NPI 1427199199) is a healthcare organization registered as a community based residential treatment facility, mental illness in Stone Mountain, Georgia and active in the NPI registry since February 2007. The organization lists Dennis Arthur O'brien, Ceo, as its authorized official.

NPPES Registry Identity

NPI1427199199
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameINTEGRATED LIFE CENTER, INC.
Location Address4641 STONEGATE INDUSTRIAL BLVDStone Mountain, GA 30083-1908
Mailing Address4641 Stonegate Industrial BlvdStone Mountain, GA 30083-1908 · (404) 377-5556 · Fax (404) 292-0093
Phone(404) 377-5556
Fax(404) 292-9903
Organization SubpartNo
Authorized OfficialDennis Arthur O'brienCeo · (404) 377-5556
Enumeration DateFebruary 8, 2007
Last NPPES UpdateNovember 21, 2011
✔ NPI 1427199199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in GA · 025893
Definition

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

4641 STONEGATE INDUSTRIAL BLVD, Stone Mountain, GA 30083
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Other Identifiers 2

Medicare OSCAR/certification1427199199GA
Medicaid00921324AGA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ATLANTA METRO PSYCHIATRIC ASSOCIATES
Psychiatry & Neurology (Addiction Psychiatry)
4641 STONEGATE INDUSTRIAL BLVD
STONE MOUNTAIN, GA 30083
Dekalb County (404) 377-5556

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrated Life Center, Inc.'s NPI number?

The NPI number for Integrated Life Center, Inc. is 1427199199. It was assigned to this organization in the NPPES registry on February 8, 2007.

Where is Integrated Life Center, Inc. located?

Integrated Life Center, Inc. is located at 4641 Stonegate Industrial Blvd, Stone Mountain, GA 30083. The listed phone number is (404) 377-5556.

What is Integrated Life Center, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Integrated Life Center, Inc. was last updated on November 21, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.