Organization
COMMUNITY WELLNESS SUPPORT OF GA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALTUAWN MADDOX DANIELS (OWNER)
(404) 938-0621
Entity
Organization
Contact information
Practice address
675 MANSELL RD STE 115, ROSWELL, GA 30076-4877
(404) 938-0621
Mailing address
675 MANSELL RD STE 115, ROSWELL, GA 30076-4877
(404) 938-0621
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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