Organization
THE SMART PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA PUNZI (EXECUTIVE DIRECTOR)
(770) 469-4418
Entity
Organization
Contact information
Practice address
1916 GLENFAIR RD, DECATUR, GA 30035-1849
(770) 469-4418
(770) 469-4438
Mailing address
1916 GLENFAIR RD, DECATUR, GA 30035-1849
(770) 469-4418
(770) 469-4438
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031956120
—
GA
Enumeration date
10/18/2012
Last updated
10/18/2012
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