Provider Demographics
NPI:1750415980
Name:WOODRIGHT INDUSTRIES
Entity type:Organization
Organization Name:WOODRIGHT INDUSTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MHDDAD FACILITY ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:SOLOMON
Authorized Official - Suffix:
Authorized Official - Credentials:MD-COUNSELING
Authorized Official - Phone:770-387-3730
Mailing Address - Street 1:1595 HIGHWAY 411 NE
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30121-5114
Mailing Address - Country:US
Mailing Address - Phone:770-387-3730
Mailing Address - Fax:770-387-4809
Practice Address - Street 1:1595 HIGHWAY 411 NE
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30121-5114
Practice Address - Country:US
Practice Address - Phone:770-387-3730
Practice Address - Fax:770-387-4809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services