| Ace Community Support Services, Llc | |
|
1238 Powers Ferry Cmn Se Marietta GA 30067-6046 | |
| (678) 401-4596 | |
| (678) 401-3126 |
| Full Name | Ace Community Support Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1238 Powers Ferry Cmn Se, Marietta, Georgia |
| Authorized Official Name and Position | Kalique N Woodbury (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6784014596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ace Community Support Services, Llc 1238 Powers Ferry Cmn Se Marietta GA 30067-6046 Ph: (678) 401-4596 | Ace Community Support Services, Llc 1238 Powers Ferry Cmn Se Marietta GA 30067-6046 Ph: (678) 401-4596 |
| NPI Number | 1811269723 |
|---|---|
| Provider Enumeration Date | 02/08/2012 |
| Last Update Date | 09/14/2021 |
| Certification Date | 09/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811269723 | NPI | - | NPPES |
| 314877275C | Medicaid | GA | |
| 341877275B | Medicaid | GA | |
| 341877275A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Georgia) | Primary |
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