Organization
GEORGIA COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RHONDA ANN CROCKETT (OWNER/PRESIDENT)
(404) 829-2715
Entity
Organization
Contact information
Practice address
500 LANIER AVE W STE 610, FAYETTEVILLE, GA 30214-7644
(404) 829-2715
Mailing address
PO BOX 217, FAYETTEVILLE, GA 30214-0217
(404) 829-2715
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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