Organization
STEPPING STONE OF ATLANTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELLY MELISSA CRUMP (EXECUTIVE DIRECTOR)
(404) 564-6488
Entity
Organization
Contact information
Practice address
2001 MARTIN LUTHER KING JR DR SW, SUITE 240, ATLANTA, GA 30310-1101
(404) 564-6488
Mailing address
2001 MARTIN LUTHER KING JR DR SW, SUITE 240, ATLANTA, GA 30310-1101
(404) 564-6488
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
136933
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
359171090A
—
GA
Enumeration date
01/27/2010
Last updated
01/27/2010
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