Organization
ASI FIRM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERIKA MCKAY (CEO)
(678) 618-7865
Entity
Organization
Contact information
Practice address
11676 SARAH LOOP, HAMPTON, GA 30228-4013
(770) 477-7785
Mailing address
1911 GRAYSON HWY STE 8, GRAYSON, GA 30017-4920
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
031012978
GA
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
031012978
GA
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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