Family Functions, Llc | |
3113 Abbey Dr Sw Atlanta GA 30331-5477 | |
(404) 629-6005 | |
(866) 830-7191 |
Full Name | Family Functions, Llc |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 3113 Abbey Dr Sw, Atlanta, Georgia |
Authorized Official Name and Position | Eterica Dionne Rucks (CEO) |
Authorized Official Contact | 4044235900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Functions, Llc 3113 Abbey Dr Sw Atlanta GA 30331-5477 Ph: (404) 629-6005 | Family Functions, Llc 3113 Abbey Dr Sw Atlanta GA 30331-5477 Ph: (404) 629-6005 |
NPI Number | 1528384492 |
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Provider Enumeration Date | 04/16/2010 |
Last Update Date | 04/16/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528384492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | N/A (Georgia) | Secondary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | N/A (Georgia) | Primary |
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