| Dynamic Community Services Inc. | |
|
3169 Spicy Cedar Ln Stonecrest GA 30038-7160 | |
| (510) 322-1341 | |
| Not Available |
| Full Name | Dynamic Community Services Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3169 Spicy Cedar Ln, Stonecrest, Georgia |
| Authorized Official Name and Position | Laurel Jackson Mcclendon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4044802945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Community Services Inc. Po Box 520 Lithonia GA 30058-0520 Ph: (404) 480-2945 | Dynamic Community Services Inc. 3169 Spicy Cedar Ln Stonecrest GA 30038-7160 Ph: (510) 322-1341 |
| NPI Number | 1558902692 |
|---|---|
| Provider Enumeration Date | 09/30/2019 |
| Last Update Date | 01/22/2021 |
| Certification Date | 01/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558902692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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