Assurance Professional Services INC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Atlanta, GA. Organization (NPI-2).
NPI number1275946451
StatusActive
Last updated in NPPESJun 5, 2014
Details
- NPI
- 1275946451
- Entity type
- Organization (NPI-2)
- Legal business name
- Assurance Professional Services INC
- Organization subpart
- No
- Enumeration date
- Jun 5, 2014
- Last updated
- Jun 5, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
1414 Moreland Ave SeAtlanta, GA 30316-3207
Phone 404-627-1774 · Fax 404-627-1765
Mailing address
1414 Moreland Ave SeAtlanta, GA 30316-3207
Phone 404-627-1774 · Fax 404-627-1765
Authorized official
Clarence W Massie
Agent
4046271774
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