Organization
DEKALB COMMUNITY SERVICE BOARD
Active
Parent organization
DEKALB COMMUNITY SERVICE BOARD
Other names
Embry Circle Group Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEKALB COMMUNITY SERVICE BOARD
Authorized official
FABIO BRUNO VAN DER MERWE (COO)
(404) 294-3836
Entity
Organization
Contact information
Practice address
3571 EMBRY CIR, CHAMBLEE, GA 30341-5613
(770) 986-8746
(770) 986-8746
Mailing address
445 WINN WAY FL 4, DECATUR, GA 30030-1707
(404) 294-3836
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/20/2007
Last updated
04/23/2020
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