Organization
ORCHID COMMUNITY LIVING INC
Active
Organization
ORCHID COMMUNITY LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEAN EDDY GILLES M.S. (CHIEF EXECUTIVE OFFICER)
(404) 488-6165
Entity
Organization
Contact information
Practice address
702 FITZGERALD PL, ATLANTA, GA 30349-1085
(404) 348-4494
(404) 348-4494
Mailing address
PO BOX 366111, ATLANTA, GA 30336-6111
(404) 348-4494
(404) 348-4494
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CLA001145
GA
Other
Enumeration date
06/21/2010
Last updated
12/31/2012
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