Organization
NORTH GEORGIA COMMUNITY CARE NETWORK, LTD. CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DIXON , MSW, CCM (PRESIDENT & CEO)
(404) 551-4611
Entity
Organization
Contact information
Practice address
1372 PEACHTREE ST NE, ATLANTA, GA 30309-3203
(404) 551-4611
(404) 551-4697
Mailing address
3710 GADOLINITE TRL, CUMMING, GA 30040-6181
(404) 551-4611
(404) 551-4697
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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