Organization
POSITIVE IMPACT HEALTH CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRACE JASON ARNETTE (FIINANCE/DATA MANAGER)
(770) 962-8396
Entity
Organization
Contact information
Practice address
3350 BRECKINRIDGE BLVD STE 200, DULUTH, GA 30096
(770) 962-8396
(770) 962-1291
Mailing address
3350 BRECKINRIDGE BLVD STE 200, DULUTH, GA 30096-4959
(770) 962-8396
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000675342A
—
GA
Enumeration date
10/09/2006
Last updated
06/25/2018
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