Organization · NPI-2

A.C.E. Comminity Support Service, LLC

Community/Behavioral Health · Mableton, GA

NPI number1447485016
StatusActive
Last updated in NPPESMay 26, 2009

Details

NPI
1447485016
Entity type
Organization (NPI-2)
Legal business name
A.C.E. Comminity Support Service, LLC
Organization subpart
No
Enumeration date
May 26, 2009
Last updated
May 26, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health08065510GAYes

Practice location

1025 Veterans Memorial Hwy Se
Ste.310
Mableton, GA 30126-7707

Phone 770-895-1243

Mailing address

1025 Veterans Memorial Hwy Se
Ste.310
Mableton, GA 30126-7707

Authorized official

Kalique Woodbury
Ceo
7708951243

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