Today's Family Ties | |
6439 Briarwood Ct Riverdale GA 30296-2904 | |
(404) 433-0307 | |
Not Available |
Full Name | Today's Family Ties |
---|---|
Speciality | Community/behavioral Health |
Location | 6439 Briarwood Ct, Riverdale, Georgia |
Authorized Official Name and Position | Larry Dewitt Fuller (COMMUNITY RESOURCE SPECIALIST) |
Authorized Official Contact | 4044330307 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Today's Family Ties 6439 Briarwood Ct Riverdale GA 30296-2904 Ph: (404) 433-0307 | Today's Family Ties 6439 Briarwood Ct Riverdale GA 30296-2904 Ph: (404) 433-0307 |
NPI Number | 1407112360 |
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Provider Enumeration Date | 04/04/2012 |
Last Update Date | 04/04/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407112360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 12-00036428 (Georgia) | Primary |
252Y00000X | Early Intervention Provider Agency | 12-00036428 (Georgia) | Secondary |
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