Organization
THE SIMPLE LIFE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HUGHES (CO-OWNER)
(704) 524-9323
Entity
Organization
Contact information
Practice address
1827 POWERS FERRY RD SE, BLDG 1 STE 250, ATLANTA, GA 30339-5621
(770) 995-9771
Mailing address
1827 POWERS FERRY RD SE, BLDG 1 STE 250, ATLANTA, GA 30339-5621
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
CSW003787
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
954880906A
—
GA
Enumeration date
05/27/2010
Last updated
05/27/2010
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