Organization
FULTON COUNTY HEALTH DEPT
Active
Other names
Oak Hill Child & Adolescent Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LASHONNA JACKSON-CLARK (ACCOUNTING MANAGER)
(404) 613-1220
Entity
Organization
Contact information
Practice address
2805 METROPOLITAN PKWY SW, ATLANTA, GA 30315-7913
(404) 612-4111
Mailing address
99 JESSE HILL JR. DRIVE, STE 402, ATLANTA, GA 30303
(404) 613-1220
(404) 224-5235
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
740260459A
—
GA
Enumeration date
11/28/2006
Last updated
07/22/2014
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