Organization
ACE COMMUNITY SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KALIQUE WOODBURY (CEO/ EXECTIVE DIRECTOR)
(770) 895-1243
Entity
Organization
Contact information
Practice address
1400 VETERANS MEMORIAL HWY SE # 262, MABLETON, GA 30126-2945
(770) 895-1243
Mailing address
1400 VETERANS MEMORIAL HWY SE # 262, MABLETON, GA 30126-2945
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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