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Organization
FRESH START COMMUNITY DEVELOPERS, LLC
Active
Organization
FRESH START COMMUNITY DEVELOPERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK MICHAEL WILLIAMS MS, CADC, ICRC, SAM (CERTIFIED ADDICTION COUNSELOR)
(404) 245-9265
Entity
Organization
Contact information
Practice address
46 SYCAMORE STA, DECATUR, GA 30030-2757
(404) 245-9265
(404) 370-1202
Mailing address
46 SYCAMORE STA, DECATUR, GA 30030-2757
(404) 245-9265
(404) 370-1202
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
236
GA
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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