South Central Community And Social Services LLC
Community/Behavioral Health in Decatur, GA. Organization (NPI-2).
NPI number1497052963
StatusActive
Last updated in NPPESJul 3, 2012
Details
- NPI
- 1497052963
- Entity type
- Organization (NPI-2)
- Legal business name
- South Central Community And Social Services LLC
- Organization subpart
- No
- Enumeration date
- Feb 18, 2011
- Last updated
- Jul 3, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | LPC003858 | GA | Yes |
Practice location
465 Winn WaySuite 150
Decatur, GA 30030-1753
Phone 404-438-2294 · Fax 678-732-0349
Mailing address
2489 Connally DrEast Point, GA 30344-1077
Phone 404-438-2294 · Fax 678-732-0349
Authorized official
Delores Morris
Owner
4044382294
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