| Human Services Management Group, Inc. | |
|
500 W Lanier Ave Suite 408 Fayetteville GA 30214-7636 | |
| (678) 961-8226 | |
| (678) 489-4915 |
| Full Name | Human Services Management Group, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 500 W Lanier Ave, Fayetteville, Georgia |
| Authorized Official Name and Position | Willie James Campbell (EXECUTIVE DIRECTOR/ADMINISTRATOR) |
| Authorized Official Contact | 6785929454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Human Services Management Group, Inc. 500 W Lanier Ave Suite 408 Fayetteville GA 30214-7636 Ph: (678) 961-8226 | Human Services Management Group, Inc. 500 W Lanier Ave Suite 408 Fayetteville GA 30214-7636 Ph: (678) 961-8226 |
| NPI Number | 1306168190 |
|---|---|
| Provider Enumeration Date | 02/19/2010 |
| Last Update Date | 02/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306168190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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