Organization
SUCCESS DYNAMICS INCORPORATED
Active
Other names
Success Dynamics Incorporated
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALVIN OLIVER ELLISON (CEO)
(252) 717-5930
Entity
Organization
Contact information
Practice address
2056 W PARK PLACE BLVD STE D, STONE MOUNTAIN, GA 30087-3537
(678) 318-3622
Mailing address
2056 W PARK PLACE BLVD STE D, STONE MOUNTAIN, GA 30087-3537
(678) 318-3622
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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