Diamonds In The Rough Services For Youth And Families Inc. | |
2426 Wood Valley Dr Morrow GA 30260-1457 | |
(404) 608-1536 | |
Not Available |
Full Name | Diamonds In The Rough Services For Youth And Families Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 2426 Wood Valley Dr, Morrow, Georgia |
Authorized Official Name and Position | Khrystal Joy Jones (DIRECTOR) |
Authorized Official Contact | 4043534152 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Diamonds In The Rough Services For Youth And Families Inc. 1741 Broad River Rd College Park GA 30349-9160 Ph: (404) 353-4152 | Diamonds In The Rough Services For Youth And Families Inc. 2426 Wood Valley Dr Morrow GA 30260-1457 Ph: (404) 608-1536 |
NPI Number | 1992058739 |
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Provider Enumeration Date | 10/17/2012 |
Last Update Date | 10/17/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992058739 | NPI | - | NPPES |
397016252A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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