# PETERKIN & ASSOCIATES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932413457
- **Authorized official:** DR. ALICE D. SMITH ED.D. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (910) 323-1817

## Contact information

- **Practice address:** 2692 HARRIS STREET, EAST POINT, GA 30344-2672
- **Practice address phone:** (770) 595-6705
- **Practice address fax:** (770) 421-6003
- **Mailing address:** 131 HAY STREET, SUITE 201, FAYETTEVILLE, NC 28301-5649
- **Mailing address phone:** (910) 323-1817
- **Mailing address fax:** (910) 323-2607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/27/2010
- **Last updated:** 07/27/2010