Organization
JACOB'S LADDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN RHODES (DIRECTOR OF HR)
(770) 998-1017
Entity
Organization
Contact information
Practice address
407 HARDSCRABBLE RD, ROSWELL, GA 30075-1417
(770) 998-1017
Mailing address
407 HARDSCRABBLE RD, ROSWELL, GA 30075-1417
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
APC004709
GA
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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