Organization
HERE'S TO LIFE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY SMITH (EXECUTIVE DIRECTOR)
(404) 707-0864
Entity
Organization
Contact information
Practice address
1115 RALPH DAVID ABERNATHY BLVD SW, ATLANTA, GA 30310-1729
(404) 500-3726
Mailing address
1115 RALPH DAVID ABERNATHY BLVD SW, ATLANTA, GA 30310-1729
(404) 500-3726
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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