Acr Health Services | |
2568 Park Central Blvd Decatur GA 30035-3916 | |
(404) 508-0078 | |
(404) 508-0071 |
Full Name | Acr Health Services |
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Speciality | Community/Behavioral Health |
Location | 2568 Park Central Blvd, Decatur, Georgia |
Authorized Official Name and Position | Frank S Mcallister (CEO) |
Authorized Official Contact | 4045080078 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Acr Health Services 2568 Park Central Blvd Decatur GA 30035-3916 Ph: (404) 508-0078 | Acr Health Services 2568 Park Central Blvd Decatur GA 30035-3916 Ph: (404) 508-0078 |
NPI Number | 1265607683 |
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Provider Enumeration Date | 04/27/2008 |
Last Update Date | 09/09/2021 |
Certification Date | 09/09/2021 |
Medicare PECOS PAC ID | 6709055817 |
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Medicare Enrollment ID | O20140306001781 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265607683 | NPI | - | NPPES |
050029051C | Medicaid | GA | |
050029051A | Medicaid | GA | |
050029051B | Medicaid | GA |
Provider Name | Dennis Arthur O'brien |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1043250079 PECOS PAC ID: 9537124177 Enrollment ID: I20080519000491 |
Provider Name | Jocelyn R Williams |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770706111 PECOS PAC ID: 7618945569 Enrollment ID: I20171005002251 |
Provider Name | Matachi M Ughwanogho |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639677529 PECOS PAC ID: 0042546152 Enrollment ID: I20190726002913 |
Provider Name | Carla Denise Perkins Jack |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992306989 PECOS PAC ID: 4486043510 Enrollment ID: I20211111001231 |
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