Organization
A FAMILY FIRST COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUBRINIA BLANCHARD (CEO)
(770) 414-9676
Entity
Organization
Contact information
Practice address
2193 NORTHLAKE PKWY, SUITE 25, TUCKER, GA 30084-4116
(770) 414-9676
(770) 414-8415
Mailing address
2193 NORTHLAKE PKWY, SUITE 25, TUCKER, GA 30084-4116
(770) 414-9676
(770) 414-8415
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
839321842A
—
GA
Enumeration date
06/25/2008
Last updated
06/25/2008
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