Organization
FULTON COUNTY MHDDAD
Active
Other names
Neighborhood Union Mental Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA JEFFERSON (HEALTH PROGRAM ADMINISTRATOR)
(404) 730-1059
Entity
Organization
Contact information
Practice address
186 SUNSET AVENUE, NW, ATLANTA, GA 30314-4059
(404) 612-9328
Mailing address
99 JESSE HILL JR DRIVE, SUITE 402, ATLANTA, GA 30303-3045
(404) 730-1059
(404) 730-1233
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000066833A
—
GA
Enumeration date
11/28/2006
Last updated
01/07/2011
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