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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