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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