Organization
DYNAMIC COMMUNITY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREL JACKSON MCCLENDON APC (EXECUTIVE DIRECTOR)
(404) 480-2945
Entity
Organization
Contact information
Practice address
3169 SPICY CEDAR LN, STONECREST, GA 30038-7160
(510) 322-1341
Mailing address
PO BOX 520, LITHONIA, GA 30058-0520
(404) 480-2945
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
01/22/2021
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