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Organization
CREW STREET COMMUNITY INTEGRATION HOME
Active
Organization
CREW STREET COMMUNITY INTEGRATION HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH SALANDY (MANAGER)
(404) 819-0901
Entity
Organization
Contact information
Practice address
885 CREW ST SW, ATLANTA, GA 30315-1540
(404) 586-9260
Mailing address
885 CREW ST SW, ATLANTA, GA 30315-1540
(404) 586-9260
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
044232
GA
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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