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Integrated Life Center, Inc.

Mental Illness Community Based Residential Treatment Facility in Stone Mountain, GA · enumerated 2007 · authorized official Dennis O'Brien, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1427199199

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Registry record

Entity type Organization (Type 2)
Legal business name Integrated Life Center, Inc.
Practice address 4641 Stonegate Industrial Blvd, Stone Mountain, GA, 30083
Phone (404) 377-5556
Fax (404) 292-9903
Enumeration date Feb 8, 2007
Last updated in NPPES Nov 21, 2011

Taxonomy & classification

320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities · License 025893 (GA) Primary

Authorized official

Name Dennis O'Brien
Title Ceo
Phone (404) 377-5556

Other identifiers

Identifier Type State Issuer
00921324A Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Integrated Life Center, Inc.?
Integrated Life Center, Inc. is registered in NPPES as a Mental Illness Community Based Residential Treatment Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-11-21.