Organization
ADVANCED COMMUNITY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONNIE FITZGERALD MANN (MEMBER)
(919) 358-3344
Entity
Organization
Contact information
Practice address
3225 WYNDHAM PARK LN, DECATUR, GA 30034-5465
(919) 358-3344
Mailing address
3225 WYNDHAM PARK LN, DECATUR, GA 30034-5465
(919) 358-3344
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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