| One Community Behavioral Services | |
|
3781 Presidential Pkwy Suite 110 Atlanta GA 30340-3702 | |
| (770) 234-9667 | |
| (770) 234-9668 |
| Full Name | One Community Behavioral Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3781 Presidential Pkwy, Atlanta, Georgia |
| Authorized Official Name and Position | Jamaul Goddard (CEO) |
| Authorized Official Contact | 7702349667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Community Behavioral Services 3781 Presidential Pkwy Suite 110 Atlanta GA 30340-3702 Ph: (770) 234-9667 | One Community Behavioral Services 3781 Presidential Pkwy Suite 110 Atlanta GA 30340-3702 Ph: (770) 234-9667 |
| NPI Number | 1427425495 |
|---|---|
| Provider Enumeration Date | 08/26/2015 |
| Last Update Date | 08/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427425495 | NPI | - | NPPES |
| 003160059A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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