Level Up Community Service Program Llc | |
6754 Grey Rock Way Lithonia GA 30058 | |
(678) 849-0505 | |
Not Available |
Full Name | Level Up Community Service Program Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 6754 Grey Rock Way, Lithonia, Georgia |
Authorized Official Name and Position | Deborah Sills (CEO) |
Authorized Official Contact | 6788490505 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Level Up Community Service Program Llc Po Box 784 Lithonia GA 30058 Ph: (678) 849-0505 | Level Up Community Service Program Llc 6754 Grey Rock Way Lithonia GA 30058 Ph: (678) 849-0505 |
NPI Number | 1558768531 |
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Provider Enumeration Date | 11/19/2014 |
Last Update Date | 11/19/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558768531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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