| Lds Family Services Georgia Agency | |
|
4823 N Royal Atlanta Dr Tucker GA 30084-3806 | |
| (770) 939-2121 | |
| (770) 908-5784 |
| Full Name | Lds Family Services Georgia Agency |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4823 N Royal Atlanta Dr, Tucker, Georgia |
| Authorized Official Name and Position | Christopher Young (DIRECTOR) |
| Authorized Official Contact | 7709392121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lds Family Services Georgia Agency 4823 N Royal Atlanta Dr Tucker GA 30084-3806 Ph: (770) 939-2121 | Lds Family Services Georgia Agency 4823 N Royal Atlanta Dr Tucker GA 30084-3806 Ph: (770) 939-2121 |
| NPI Number | 1295953693 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 06/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295953693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | CP0000040003 (Georgia) | Primary |
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