| Dakalb Rape Crisis Center | |
|
204 Church Street Decatur GA 30030-3328 | |
| (404) 377-1429 | |
| (404) 377-5644 |
| Full Name | Dakalb Rape Crisis Center |
|---|---|
| Speciality | Social Worker |
| Location | 204 Church Street, Decatur, Georgia |
| Authorized Official Name and Position | Phyllis Wardrett Miller (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4043771429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dakalb Rape Crisis Center 204 Church Street Decatur GA 30030-3328 Ph: (404) 377-1429 | Dakalb Rape Crisis Center 204 Church Street Decatur GA 30030-3328 Ph: (404) 377-1429 |
| NPI Number | 1750602173 |
|---|---|
| Provider Enumeration Date | 06/21/2010 |
| Last Update Date | 06/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750602173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | CSW000649 (Georgia) | Primary |
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