Organization
SUPPORTED EMPLOYMENT SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANNA KAYE LONG (CEO)
(770) 499-2172
Entity
Organization
Contact information
Practice address
615 ROSWELL ST NE, SUITE 110, MARIETTA, GA 30060-2196
(770) 499-2172
(678) 354-2670
Mailing address
615 ROSWELL ST NE, SUITE 110, MARIETTA, GA 30060-2196
(770) 499-2172
(678) 354-2670
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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