Organization
FAMILY FUNCTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ETERICA DIONNE RUCKS LCSW (CEO)
(404) 423-5900
Entity
Organization
Contact information
Practice address
3113 ABBEY DR SW, ATLANTA, GA 30331-5477
(404) 629-6005
(866) 830-7191
Mailing address
3113 ABBEY DR SW, ATLANTA, GA 30331-5477
(404) 629-6005
(866) 830-7191
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
N/A
GA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
N/A
GA
Other
Enumeration date
04/16/2010
Last updated
04/16/2010
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