| Yagc, Inc. | |
|
1230 Hightower Rd Nw Atlanta GA 30318-3822 | |
| (404) 792-7616 | |
| (404) 794-0151 |
| Full Name | Yagc, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1230 Hightower Rd Nw, Atlanta, Georgia |
| Authorized Official Name and Position | Marion Lamar Simpson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4047927616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yagc, Inc. Po Box 93361 Atlanta GA 30377-0361 Ph: (404) 792-7616 | Yagc, Inc. 1230 Hightower Rd Nw Atlanta GA 30318-3822 Ph: (404) 792-7616 |
| NPI Number | 1780845586 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780845586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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