| The Quilt Transitional Consulting And Development Services, Llc | |
|
5987 Pattillo Ln Lithonia GA 30058-6295 | |
| (404) 297-8321 | |
| (404) 297-8322 |
| Full Name | The Quilt Transitional Consulting And Development Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5987 Pattillo Ln, Lithonia, Georgia |
| Authorized Official Name and Position | Janice Marie Cooks (EXECUTIVE DIRECTOR- CEO) |
| Authorized Official Contact | 4042978321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Quilt Transitional Consulting And Development Services, Llc 5987 Pattillo Ln Lithonia GA 30058-6295 Ph: (404) 297-8321 | The Quilt Transitional Consulting And Development Services, Llc 5987 Pattillo Ln Lithonia GA 30058-6295 Ph: (404) 297-8321 |
| NPI Number | 1134629736 |
|---|---|
| Provider Enumeration Date | 02/20/2018 |
| Last Update Date | 07/08/2020 |
| Certification Date | 07/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134629736 | NPI | - | NPPES |
| 926597240A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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