Organization
ADAPT GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL TRUSSELL PH.D. (EXECUTIVE DIRECTOR)
(404) 418-7400
Entity
Organization
Contact information
Practice address
440 RALPH MCGILL BLVD NE, ATLANTA, GA 30312-1217
(404) 418-7400
Mailing address
2203 BRANDON LN SW, CONYERS, GA 30094-5090
(770) 785-5045
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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