Organization
FABULOUS COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FABIOLA FLEMENS (CEO)
(404) 518-7851
Entity
Organization
Contact information
Practice address
120 WEST DR, CLARKSVILLE, TN 37040-2109
(404) 518-7851
Mailing address
120 WEST DR, CLARKSVILLE, TN 37040-2109
(404) 518-7851
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QV0200X
VA Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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