Organization
PROSPERITY SUPPORT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEWANDRA RAWLS (FOUNDER, CHIEF EXECUTIVE)
(678) 520-6043
Entity
Organization
Contact information
Practice address
723 RIVER VALLEY DR, JONESBORO, GA 30238-5793
(678) 520-6043
Mailing address
723 RIVER VALLEY DR, JONESBORO, GA 30238-5793
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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