| Family Fusion Services Llc | |
|
1373 Cleveland Ave East Point GA 30344-3423 | |
| (770) 934-4202 | |
| (404) 684-6001 |
| Full Name | Family Fusion Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1373 Cleveland Ave, East Point, Georgia |
| Authorized Official Name and Position | P P (C) |
| Authorized Official Contact | 7709344202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Fusion Services Llc 1373 Cleveland Ave East Point GA 30344-3423 Ph: (770) 934-4202 | Family Fusion Services Llc 1373 Cleveland Ave East Point GA 30344-3423 Ph: (770) 934-4202 |
| NPI Number | 1487883914 |
|---|---|
| Provider Enumeration Date | 07/06/2009 |
| Last Update Date | 06/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487883914 | NPI | - | NPPES |
| 913294606A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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