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Organization

FAMILIES FIRST

Active
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Organization

FAMILIES FIRST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH CHRISTOPHER HAIDER-BARDILL LPC, CPCS, CMAC (CLINICAL DIRECTOR)
(404) 541-2223
Entity
Organization

Contact information

Practice address
80 JOSEPH E LOWERY BLVD NW, ATLANTA, GA 30314-3421
(404) 853-2800
(404) 759-2751
Mailing address
80 JOSEPH E LOWERY BLVD NW, ATLANTA, GA 30314-3421
(404) 853-2800
(404) 759-2751

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
251S00000X
Community/Behavioral Health Agency
APPLIED FOR
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000494007B
GA
05
003282766A
GA
Enumeration date
03/14/2007
Last updated
04/22/2025
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