Organization
A VILLAGE@SOUTHFULTON, INC
Active
Other names
A Village
Organization subpart
No
Provider details
NPI number
Authorized official
BARON L. COKER (CEO/PRESIDENT)
(404) 574-2440
Entity
Organization
Contact information
Practice address
3475 N DESERT DR, BUILDING 100, EAST POINT, GA 30344-5723
(404) 574-2440
(404) 574-2441
Mailing address
3475 N DESERT DR, BUILDING 100, EAST POINT, GA 30344-5723
(404) 574-2440
(404) 574-2441
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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