Organization
REACHING LIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMAL A SMITH BA (OWNER/WORKER)
(404) 626-7203
Entity
Organization
Contact information
Practice address
270 LAKEVIEW PL, STOCKBRIDGE, GA 30281-6272
(404) 626-7203
Mailing address
270 LAKEVIEW PL, STOCKBRIDGE, GA 30281-6272
(404) 626-7204
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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