Organization
POSITIVE IMPACT HHS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAVERN WILLIAMS (PRESIDENT)
(678) 755-2533
Entity
Organization
Contact information
Practice address
934 GARDEN WALK BLVD. # 903, COLLEGE PARK, GA 30349-8508
(678) 755-2533
Mailing address
934 GARDEN WALK BLVD. # 903, COLLEGE PARK, GA 30349-8508
(678) 755-2533
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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