Organization
ALL KIDS FIRST EARLY INTERVENTION SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICKY ALTIKULAC (DIRECTOR/OWNER)
(404) 394-3382
Entity
Organization
Contact information
Practice address
2959 STANSTEAD CIR, NORCROSS, GA 30071-5000
(404) 394-3382
(678) 302-3453
Mailing address
1856 ATKINSON ROAD, LAWRENCEVILLE, GA 30045
(404) 394-3382
(678) 302-3453
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
0-090-3036
GA
251S00000X
Community/Behavioral Health Agency
Primary
0-090-3051
GA
Other
Enumeration date
12/21/2010
Last updated
03/15/2011
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