| Uplifting The Community, Inc. | |
|
2001 Martin Luther King Jr Dr Sw Suite 308 Atlanta GA 30310-1101 | |
| (404) 564-4985 | |
| (404) 564-4986 |
| Full Name | Uplifting The Community, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2001 Martin Luther King Jr Dr Sw, Atlanta, Georgia |
| Authorized Official Name and Position | Jacqueline B. Lane (OFFICE ADMIN) |
| Authorized Official Contact | 4045644985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uplifting The Community, Inc. 2001 Martin Luther King Jr Dr Sw Suite 308 Atlanta GA 30310-1101 Ph: (404) 564-4985 | Uplifting The Community, Inc. 2001 Martin Luther King Jr Dr Sw Suite 308 Atlanta GA 30310-1101 Ph: (404) 564-4985 |
| NPI Number | 1669769063 |
|---|---|
| Provider Enumeration Date | 07/06/2011 |
| Last Update Date | 10/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669769063 | NPI | - | NPPES |
| 376158430A | Medicaid | GA | |
| 509861193A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 251S00000X (Georgia) | Primary |
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