Organization
YOUR FRIENDS AND NEIGHBORS OF GA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA BEAL (CEO)
(770) 641-8300
Entity
Organization
Contact information
Practice address
2358 PERIMETER PARK DR, SUITE 320, ATLANTA, GA 30341-1332
(770) 641-8300
(770) 645-8666
Mailing address
1515 MAGNAVOX WAY, FORT WAYNE, IN 46804-1533
(260) 459-1551
(260) 459-1451
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/29/2007
Last updated
11/06/2007
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