| A Safe Space Llc | |
|
3342 Rose Rdg Atlanta GA 30340-4074 | |
| (678) 558-3930 | |
| Not Available |
| Full Name | A Safe Space Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3342 Rose Rdg, Atlanta, Georgia |
| Authorized Official Name and Position | Harry Scott Gordon (PRESIDENT) |
| Authorized Official Contact | 6785583930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Safe Space Llc 3342 Rose Rdg Atlanta GA 30340-4074 Ph: (678) 558-3930 | A Safe Space Llc 3342 Rose Rdg Atlanta GA 30340-4074 Ph: (678) 558-3930 |
| NPI Number | 1285248773 |
|---|---|
| Provider Enumeration Date | 09/02/2020 |
| Last Update Date | 09/02/2020 |
| Certification Date | 09/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285248773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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