| D & J Superior Community Living | |
|
2579 Pierce Cir Snellville GA 30078-5768 | |
| (770) 871-5630 | |
| (678) 691-3269 |
| Full Name | D & J Superior Community Living |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2579 Pierce Cir, Snellville, Georgia |
| Authorized Official Name and Position | Shawn Grady (PRESIDENT) |
| Authorized Official Contact | 7709052067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D & J Superior Community Living 2579 Pierce Cir Snellville GA 30078-5768 Ph: (770) 871-5630 | D & J Superior Community Living 2579 Pierce Cir Snellville GA 30078-5768 Ph: (770) 871-5630 |
| NPI Number | 1588971550 |
|---|---|
| Provider Enumeration Date | 09/10/2010 |
| Last Update Date | 09/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588971550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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