Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cassandra Gilliam

Organization Mental Illness Intermediate Care Facility · NPI 1760609895

Cassandra Gilliam is a Mental Illness Intermediate Care Facility in Decatur, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

450 Winn Way
Decatur, GA 30030-1715
Phone: (404) 294-0499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Intermediate Care Facility (primary) Taxonomy 310500000X · Licence RN171251 (GA)

Record details

NPI number1760609895
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cassandra Gilliam — Rn · (404) 294-0499
Other names None
NPI enumeratedApril 19, 2007
Last updated in NPPESAugust 22, 2020
Mailing address3850 Eden Glen Dr Se, Conyers, GA 30013-5813

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