First Integrated Community Care Services
Clinic/Center, Mental Health (Including Community Mental Health Center) in Peachtree Corners, GA. Organization (NPI-2).
NPI number1962095356
StatusActive
Last updated in NPPESFeb 25, 2024
Details
- NPI
- 1962095356
- Entity type
- Organization (NPI-2)
- Legal business name
- First Integrated Community Care Services
- Organization subpart
- No
- Enumeration date
- Feb 16, 2021
- Certification date
- Feb 25, 2024
- Last updated
- Feb 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 347B00000X | Bus | – | – |
Practice location
6624 Jimmy Carter Blvd Ste APeachtree Corners, GA 30071-1727
Phone 770-281-9819
Mailing address
6624 Jimmy Carter Blvd Ste APeachtree Corners, GA 30071-1727
Phone 770-281-9819 · Fax 770-284-4248
Authorized official
Nahomie Julien
Founder
6789145772
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