Organization
VICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIOLETTA ARDOIN (OWNER)
(404) 532-9926
Entity
Organization
Contact information
Practice address
2766 ELKMONT RDG SW, ATLANTA, GA 30331-9434
(404) 532-9926
(866) 862-9942
Mailing address
2766 ELKMONT RDG SW, ATLANTA, GA 30331-9434
(404) 532-9926
(866) 862-9942
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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