Organization
A.C.E. COMMINITY SUPPORT SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALIQUE WOODBURY (CEO)
(770) 895-1243
Entity
Organization
Contact information
Practice address
1025 VETERANS MEMORIAL HWY SE, STE.310, MABLETON, GA 30126-7707
(770) 895-1243
Mailing address
1025 VETERANS MEMORIAL HWY SE, STE.310, MABLETON, GA 30126-7707
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
08065510
GA
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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