Organization
FAMILY FUSION SERVICES LLC
Active
Organization
FAMILY FUSION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
P P (C)
(770) 934-4202
Entity
Organization
Contact information
Practice address
1373 CLEVELAND AVE, EAST POINT, GA 30344-3423
(770) 934-4202
(404) 684-6001
Mailing address
1373 CLEVELAND AVE, EAST POINT, GA 30344-3423
(770) 934-4202
(404) 684-6001
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913294606A
—
GA
Enumeration date
07/06/2009
Last updated
06/22/2015
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